A pregnant patient at 38 weeks of pregnancy was admitted with lower abdominal pain. On P/V examination, the cervix was 4 cm dilated with 100% effacement (membrane intact and bulged). How will you manage this patient?
Explanation
Answer: D - All of the above
This is a case of a woman in the first stage of labor at 38 weeks of pregnancy. The first stage starts from the onset of true labor pain, and ends with full dilatation of cervix. Therefore, patient management includes reassurance and encouragement, company and privacy, strict maintenance of hygiene, rest and ambulation, bladder care, relief of pain, and liquid diet. Constant supervision is a very important component of management in the first stage of labor.
