st us toco fecg st-events

ST Case 3

Guidelines followed

Summary

23 year old G 1 P0. Gest. week 40+3. Unremarkable pregnancy.

12:00 Admitted to the hospital in spontaneous labor, contracting began at 10:00 and SROM reported at 06:00, meconium stained fluid noted. SVE: Cx 4 cm dilated, 100% effaced, vx-1.
14:37 Epidural placed. SVE: Cx 6 cm dilated, 100% effaced, vx -1.
15:31 Decelerations visible with external monitoring. Decision made to place a FSE and initiate ST Analysis.
18:44 SVE: Cx 8 cm dilated, 100% effaced, vx -1.
19:50 SVE: Cx 8 cm dilated, 100% effaced, vx at 0 station.
19:58 Baseline ST event. Oxytocin infusion turned off. Obstetrician decides to perform Cesarean section.
20:00 Baseline ST event.
20:08 Cesarean section. Baby girl born. Birth weight 2980 g. Apgar Score 9/10/10.

Cord gases

	pH	pCO₂	BE
Artery	7.22	8.2	-7.1
Vein	7.31	5.9	-3.1

Comment

STAN Guidelines are followed. Yellow Zone tracing with ST Events displayed and no improvement in the fetal condition requires qualified assessment. In this case an expeditious delivery occurred.

uploaded 2013-10-03 by Neoventa Medical

© 2018 Neoventa Medical AB | Neoventa Medical Inc. | All rights reserved | These cases are being presented to provide additional learning opportunities and demonstrate the use of STAN and ST Analysis. They are not intended to be a substitute for the product manuals or instructions for use, nor should they be taken to provide specific instructions on how to care for any patient given that the entire clinical picture must be taken into account when administering care. Patient selection and management should always be according to approved indications for use, as well as contraindications, as defined in the clinical guidelines for your point of use.