Enunciado A 22-year-old primigravida at 39 weeks of gestation (confirmed by a prior ultrasound study) was admitted to a maternity unit with regular and painful contractions without leakage of amniotic fluid. She had been provided appropriate prenatal care, without any complications reported. On admission, her vital signs were stable and, in 10 minutes, two uterine contractions were felt. One of them was strong and the other was moderate in intensity and lasted 25 seconds. Fetal heart rate was 130bpm. Information regarding the parturient and the labor process were recorded on the partogram here presented. Partogram (Important keys - Dilatação: Dilation of cervix; Hora de registro: Hours after admission; FCF (bat/min): Fetal heart rate (beats/min); Contrações: Contractions per 10 minutes; Seg: Seconds; Bolsa: State of membranes; I: Intact; R: Ruptured; LA: Amniotic fluid; CL: Clear Ocitocina: Oxytocin) Question:Taking into account the labor progression recorded on the partogram, we are able to assume that there was: Normal and appropriate labor evolution Prolonged descent Prolonged active phase Secondary arrest of cervical dilatation Time is Up! Time's up
