ABSTRACT
You are on the labour ward and called to see a 33-year-old woman in labour as the midwife is concerned about the cardiotocograph (CTG).
She is 41 2 weeks’ gestation and this is her first baby. The pregnancy was uncomplicated until 2 days ago when she developed mild hypertension, without proteinuria. In view of the gestational age a decision was made for induction of labour yesterday. She had 2 mg prostaglandin gel administered into the vagina at 18.00 last night and again at 06.00 this morning. Spontaneous rupture of membranes occurred at 10.00 today after which contractions commenced.
