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21st August 2023

A 34-year-old woman in her first pregnancy is in active labour

A 34-year-old woman in her first pregnancy is in active labour. She has been in the second stage for more than two hours. Vaginal examination shows a fully dilated cervix with the foetus’ head at the +1 station, indicating it is only just engaged in the pelvis.

What is the next best step in management?

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