Medicine, 15.04.2021 17:10 hjamya17

A 33 year old G1P0 woman at 38 weeks gestation with pregnancy complicated by type 1 diabetes was admitted for induction due to oligohydramnios. She received Cervidil (prostaglandin E2) overnight, and her cervix was noted to be 3 cm dilated in the morning, so oxytocin was started. After three hours of oxytocin induction, fetal heart rate is noted to be in the 160s with minimal variability and late decelerations despite resuscitation with oxygen, fluids and left lateral position. Thirty minutes after discontinuing the oxytocin, she continues to have contractions every three to four minutes with decelerations. Her blood pressure is 138/88 and her pulse is 110 beats/minute. Her cervical exam is 4 cm dilated. What is the most appropriate next step in the management of this patient

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A 33 year old G1P0 woman at 38 weeks gestation with pregnancy complicated by type 1 diabetes was adm...

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