Obstructed Labour - Antibiotic prophylaxis

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Failure of labour to progress despite good uterine contractions.

ManagementTreatment

• Set up an IV normal saline line and rehydrate the patient to maintain plasma volume and treat dehydration and ketosis
• Start 5-day course of antibiotics: Amoxicillin 500 mg every 8 hours or erythromycin 500 mg every 6 hours
• Plus metronidazole 400 mg every 8 hours
• Refer urgently to HC4/Hospital for further management