A healthy 19-year-old G1 P0 at 29 weeks’ gestation presents to the labor and delivery area complaining of intermittent abdominal pain. She denies leakage of fluid or bleeding per vagina. Her antenatal history has been unremarkable. She has been eating and drinking normally. Exam Her blood pressure (BP) is 110/70 mm Hg, heart rate (HR) 90 beats per minute (bpm), and temperature 99°F (37.2°C).

The fetal heart rate tracing reveals a baseline heart rate of 120 bpm and a reactive pattern. Uterine contractions are occurring every 3 to 5 minutes. On pelvic examination, her cervix is 3 cm dilated, 90% effaced, and the fetal vertex is presenting at −1 station. *This case is from Docplexus editorial team for educative purpose only Source: Case Files - Obstetrics Gynecology Stay connected, the answers will be posted in next 48h!