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31482 Gynaecology & Obstetrics

A 32-year-old second gravida who had an LSCS in her first pregnancy is admitted in labor. The fetus is in the cephalic presentation. The head is engaged. This estimated fetal weight is 3 kg. Uterine contractions are 2 per 10 minutes. The fetal heart rate is 140 bpm. The cervical dilation is 5 cm. The vertex is felt 1 cm above the ischial spines. The posterior fontanelle is felt. Pelvis is adequate. The membranes are intact. What is the best management option?

ADo an amniotomy and allow labor to progress
BDo an amniotomy and commence an infusion of oxytocin
CPerform a cesarean section
DPerform a ventous delivery in the second stage
Gynaecology & Obstetrics
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