امرأة عمرها ٢٣ سنة حامل في الأسبوع ٣٩ تريد ولادة طبيعية. بعد ١٤ ساعة من المخاض، العنق ٦ سم منذ ٤ ساعات بدون تقدم رغم انقباضات قوية، ونبض الجنين بدأ يتسارع إلى ١٦٨، والأم حرارتها ٣٨٫٠. ما الإجراء المتوقع؟

A 23-year-old at 39 weeks wanting a vaginal birth has been in labour 14 hours; the cervix has been 6 cm for 4 hours despite strong contractions, the fetal heart is rising to 168 and maternal temperature is 38.0 °C. What is expected?

1. Notify the provider about labour arrest and fever
2. Wait another 12 hours without assessment
3. Double the oxytocin without informing anyone
4. Encourage pushing before full dilatation

Answer: A) Notify the provider about labour arrest and fever. Arrest of dilatation despite good contractions with fever and fetal tachycardia suggests dystocia and possible infection; provider assessment, antibiotics and possibly caesarean are needed.