Question:medium

Female with 41 wk gestation confirmed by radiological investigation, very sure of her LMP, no uterine contractions, no effacement and no dilatation. What should not be done?

Updated On: Jun 23, 2026
  • Intracervical foley’s
  • PGE1 tab
  • PGE2 gel
  • PGF2alpha
Show Solution

The Correct Option is D

Solution and Explanation

Step 1: Frame the scenario: a confirmed $41$-week pregnancy with no contractions and an unripe cervix needs induction, beginning with cervical ripening.
Step 2: Tools that ripen the cervix and start labour include a mechanical intracervical Foley's balloon and prostaglandins PGE1 (misoprostol tablet) and PGE2 (dinoprostone gel). Each is appropriate.
Step 3: PGF2-alpha, however, acts to relax the uterus in this setting and therefore cannot be relied on to induce labour - using it would be the wrong move.
Step 4: The item that should NOT be done is administering PGF2alpha.
\[\boxed{\text{PGF2alpha}}\]
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