A 32-year-old G1 P0 woman at 42 weeks gestation was induced for post-term pregnancy. She had an uncomplicated prenatal course. The obstetrician decided to use a cervical ripening agent with misoprostol in the vagina.

Approximately two hours after placing the misoprostol, the patient had an episode of fetal prolonged deceleration to the 80 bpm for six minutes. BP: 100/60 mm Hg Fundal height: 40 cm Cervix: Closed, 3 cm long, and firm on consistency