FCOG-1061

FCOG-1061

A 21-year-old primigravida female presents to the emergency department at 41 weeks gestation.

She complains of a nine hour history of irregular painful contractions.

On examination of her pelvis, her cervix is fully effaced, but only 2 – 3 cm dilated. The fetal head is at the level of the ischial spines in a left occipito-posterior (LOP) position. The membranes ruptured an hour ago.

What would be the best next line of management?