MSRA-2700

MSRA-2700

A 28-year-old nulliparous woman presents to the labour suite at 40+6 weeks gestation. She has expressed her desire for a vaginal delivery throughout her pregnancy. On cervical examination, the cervix is found to be in an intermediate position with a firm consistency. Cervical effacement is estimated to be around 30%, and the cervical dilatation is less than 1cm. The fetal head is palpable at the level of the ischial spines, and her bishop score is 3/10. The midwife has already performed a membrane sweep. What is the next step in management?