,INDICATIONS:  ,The patient is a 20-year-old gravida 1, para 0 female, who presented to labor and delivery in early active labor at 40 and 6/7 weeks gestation. 
,INDICATIONS : , The patient is a 20 - year - old gravida 1 , para 0 female , who presented to labor and delivery in early active labor at 40 and 6/7 weeks gestation .