system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 30-year-old woman, gravida 2, para 1, at 40 weeks' gestation is admitted to the hospital in active labor. Pregnancy has been complicated by iron deficiency anemia, which was treated with iron supplements. Her first pregnancy and vaginal delivery were uncomplicated. There is no personal or family history of serious illness. Her pulse is 90/min, respirations are 15/min, and blood pressure is 130/80 mm Hg. The abdomen is nontender and contractions are felt. Ultrasonography shows that the fetal long axis is at a right angle compared to the long axis of the maternal uterus. The fetal heart rate is 140/min and is reactive with no decelerations. Which of the following is the most appropriate next step in the management of this patient?
assistant
Cesarean section