The young patient, gravida I, para 0, ab 0, at 43 weeks gestation, presented in labor and labored poorly but succeeded in reaching 4 to 5 centimeters.

Inpatient admission: The young patient, gravida I, para 0, ab 0, at 43 weeks gestation, presented in labor and labored poorly but succeeded in reaching 4 to 5 centimeters.  Augmentation with Pitocin resulted in no change after several hours, a  primary lower uterine segmental cesarean section was performed due to prolonged labor, with birth of a 7-pound, 5-ounce female.  The patient did well after delivery and was discharged on the fourth postoperative day.                                                                                                                          Discharge diagnoses: (1) Postterm, intrauterine pregnancy; (2) failure to progress in labor, with prolonged first stage.