st toco fecg

ST Case 14

Abnormal CTG and no ST Events.

Summary

26 year old G1 P0. Gest. week 40+4. Unremarkable pregnancy.

21:00 Admitted to the hospital having strong contractions since 18:00. SVE: Cx 4 cm dilated, 100% effaced, vx-2. Bulging membranes.
21:30 Epidural placed.
22:02 AROM with clear fluid noted. FSE applied, ST Analysis initiated. SVE: Cx 4 cm dilated, 100% effaced, vx -2.
00:00 SVE: Cx 5 cm, 100% effaced, vx-1.
02:00 SVE: Cx 5 cm, 100% effaced, vx-1. Oxytocin infusion started per protocol.
03:15 Oxytocin infusion increased per protocol. SVE: Unchanged. Physician decides to perform a cesarean section for failure to progress.
03:49 Cesarean section of a baby girl. Birth weight 4 110 g. Apgar Score 9/10/10.

Cord gases

	pH	pCO₂	BE
Artery	7.20	9.1	-8.7
Vein	7.28	6.9	-5.6

Comment

Yellow Zone tracing with adequate signal quality and no ST Events. According to the STAN guideline the recommended management is “expectant management, closer observation” and “If the Yellow Zone tracing persists for more than 60 minutes (or earlier if FHR shows rapid deterioration of fetal condition), direct physician assessment of fetal state”. In this case the physician chooses expectant management and closer observation. Cesarean section was performed for failure to progress.

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.