A secundipara has regular birth activity. Three years ago she had cesarean section for the reason of acute intrauterine hypoxia. During parodynia she complains of extended pain in the area of postsurgical scar. Objectively: fetus pulse is rhythmic - 140 bpm. Vaginal examination shows 5 cm cervical dilatation. Fetal bladder is intact. What is the tactics of choice?

Answer options

1. Augmentation of labour
2. Vaginal delivery
3. Obstetrical forceps
4. Waiting tactics of labor management
5. Cesarean section

Explanation

Parodynia is the rhythmic uterine contractions that under normal conditions increase in intensity, frequency, and duration, culminating in the vaginal delivery of the infant. This can lead to complications and hence doing C/S is the best choice.