FCOG-1179
A 38-year-old woman, gravida 4 para 0 aborta 3, at 35 weeks of gestation comes to the hospital due to intense, constant lower abdominal pain. The patient got conceived via in-vitro fertilization and her prenatal course has been uncomplicated. Over the past 10 years, the patient has had 3 spontaneous abortions, all attributed to uterine leiomyoma. Two years ago, she had an abdominal myomectomy during which the uterine cavity was entered.
On examination her temperature is 36.7 C (98 F), blood pressure is 132/84 mm Hg, and pulse is 100/min. The fetal heart rate tracing shows a baseline rate in the 140s with moderate variability and persistent variable decelerations to the 90s. Contractions occur every 2-3 minutes and last for 45 seconds, her cervix is 4 cm dilated and 100% effaced.
Which among the following is the best next step in management of this patient?