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142027 Gynaecology & Obstetrics

A term multigravida is in labour since 12 hours. O/E PR: 116/min, BP is 90/60, tongue is dry, uterine contractions of 45 sec felt every 3 mins, cervix is thick, 6-7 cm dilated, membranes are absent, fetal head is at station -2 with a caput till +3 station. Urine is blood stained. The most likely diagnosis is:-

APatient is in advance labour with expected findings
BProlonged labour
CObstructed labour
DShoulder Dystocia
Gynaecology & Obstetrics
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