ST Case 8

Intervention

Summary

38 year old G1 P0. Gest. week 38+3. Admitted to the hospital in spontaneous labor. Unremarkable pregnancy.

15:05 Admitted to the hospital in spontaneous labor. SVE: Cx 3 cm dilated, 100% effaced, vx -2. SROM occurred with vaginal examination, clear fluid noted. Epidural placed.
15:44 FSE applied. ST Analysis initiated. Oxytocin infusion started.
18:00 SVE: Cx 8 cm dilated, 100% effaced, vx 0 station.
19:48 Labor continues. Baseline ST Event occurred at 19:48 and Oxytocin infusion was decreased due to tachysystole between 19:20-19:30.
20:00 FHR pattern classified as a Green Zone tracing.
21:10 Active pushing started.
23:20 SVD 3560 g. Apgar Score 9/9/10.

Cord gases

	pH	pCO₂	BE
Artery	7.29	8.1	-2.4
Vein	7.33	6.4	-1.8

Comment

During a Yellow Zone tracing, in the first stage of labor, with a Baseline ST Event the STAN guideline recommends intrauterine resuscitation as appropriate. In this case tachysystole was addressed and resolved. The fetal condition improved, the FHR pattern was classified as a Green Zone tracing and labor continued.

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.