A 30-year-old multigravida has been in labour for 18 hours. 2 hours ago the pushing stage began. Fetal heart rate is clear, rhythmic, 136/min. Vaginal examination reveals complete cervical dilatation, the fetal head in the pelvic outlet plane. Sagittal suture is in line with obstetric conjugate, the occipital fontanel is near the pubís. The patient has been diagnosed with primary uterine inertia. What are the further tactics of labor management?

Answer options

1. Vacuum extraction of the fetus
2. Skin-head Ivanov’s forceps
3. Labour stimulation
4. Cesarean section
5. Outlet forceps

Explanation

A 30-year-old multigravida has been in labour for 18 hours. 2 hours ago the pushing stage began. Fetal heart rate is clear, rhythmic, 136/min. Vaginal examination reveals complete cervical dilatation, the fetal head in the pelvic outlet plane. Sagittal suture is in line with obstetric conjugate, the occipital fontanel is near the pubis. The patient has been diagnosed with primary uterine inertia. What are the further tactics of labor management?Fetal heart rate is clear, rhythmic, 136/min indicates a fetus is not in distress.