A pregnant female at 38 weeks of gestation comes in with uterine contractions. She is a nulliparous woman. On examination the cervix is 4cm dilated af

[Tiffany Wong]

#january2020amc1

A pregnant female at 38 weeks of gestation comes in with uterine contractions. She is a nulliparous woman. On examination the cervix is 4cm dilated after 4 hours. What is the next step in management?

A.Offer ceasarian section
B.Do amniotomy
C.Give her epidural anaesthesia
D.Observe