A 22-year-old primigravida at 40+10 weeks of gestation attends the GP. She has declined induction of labour and wishes to continue with expectant mana...

Question

A 22-year-old primigravida at 40+10 weeks of gestation attends the GP. She has declined induction of labour and wishes to continue with expectant management. She is well, with normal blood pressure and no proteinuria. Which is the single most appropriate advice?

Accepted Answer

Advise that from 42 weeks, she should be offered at least twice-weekly cardiotocography and ultrasound assessment of amniotic fluid, and inform her of the increased risks

Answer

Respect her decision and offer no further monitoring

Answer

Insist on immediate induction as it is unsafe to continue

Answer

Arrange a caesarean section at 41 weeks

Answer

Offer a membrane sweep only and discharge from antenatal care

uk-drcog MCQ (SBA): Post-term Pregnancy Management

A 22-year-old primigravida at 40+10 weeks of gestation attends the GP. She has declined induction of labour and wishes to continue with expectant management. She is well, with normal blood pressure and no proteinuria. Which is the single most appropriate advice?