During fetal scalp monitoring, a primigravida woman has a scalp pH of 7.10 at 39 weeks of gestation. What should be done next?

A scalp pH of 7.10 during fetal scalp monitoring indicates a significant level of fetal acidosis, suggesting that the fetus may be experiencing an inadequate oxygen supply. In cases of fetal distress indicated by such a low pH, immediate intervention is warranted to prevent potential complications, such as fetal hypoxia or more severe outcomes.

When the pH falls below the threshold of 7.20, clinical guidelines often recommend preparing for immediate delivery, as the risks associated with continuing labor could outweigh the benefits. This ensures prompt action to protect the health of both the mother and the fetus, making it crucial to prepare for delivery rather than continuing to monitor or considering medications or other interventions that might delay necessary action.