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Hi, Lady (32 yrs), healthy. Pregnant - 40wks 2 days, Amniotic fluid index -70, CTG (foetal heart beat )- normal. Tight and closed cervix. Getting treated in a international hospital abroad. At 39 wks 5 days Dr. tried oxytocin for 6 hours (mixed with lactate soln). Good contractions, good foetal heart rate but no improvement in cervix Today (40wks 2 days) - CTG - normal, amniotic fluid - 70. Drs asked to come back after 3 days. Patient walking a lot and hydrated well with water tender coconut. Drs at this hospital are reluctant to use misoprostol or cerviprime gel as they say its usage is banned in their hospital. Also they say these 2 medicines are dangerous and could lead to uncontrolled contractions. What should I do. Should I wait? I can wait for more days but should I also take a second opinion from other hospital which may use these medicines safely for cervical ripening followed by oxytocin shot for labour indication? Pls advise.


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