st us toco fecg

ST Case 9

Variable decelerations

Summary

30 year old G 1 P 0, Gest. week 40+4. Unremarkable pregnancy. SROM occurred 48 hours earlier, admitted with contractions. IV antibiotic given.

12:00 Epidural placed. SVE: Cx 5 cm dilated, 100% effaced, vx -1. Clear amniotic fluid noted.
12:34 ST Analysis initiated. Oxytocin infusion started.
16:45 SVE: Cx 7 cm dilated, 100 % effaced, vx at 0 station.
17:30 Oxytocin infusion decreased due to tachysystole. .
19:00 SVE:Cx 10 cm dilated, 100% effaced, vx +1. Waiting for the head to descend.
20:00 Active pushing started.
20:22 SVD Baby girl. Birth weight 3 440 g. Apgar Score 8/9/10.

Cord gases

	pH	pCO₂	BE
Artery	7.21	9.1	-7.1
Vein	7.26	5.7	-5.4

A nuchal cord times 2 noted.

Comment

In this case, ST Analysis was able to provide additional information that supported the decision to not intervene.

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.