us toco fecg ctg

CTG Case 2

Maternal pulse

Summary

37 year old G 3 P 2.  Gest. week 41+0. 2003 SVD. 2004 SVD. Normal pregnancy.

  • 11:20 Admitted to hospital contracting since 06:00. VE: Cx fully effaced, 7 cm dilated, vx -1.
  • 11:43 External CTG trace initiates.
  • 12:58 ARM, clear liquor draining. FSE applied. VE/ Cx fully dilated, vx +1.
  • 13:08 SVD Babyboy.  As 9,10,10.  Birthweight 3920 g.

Comment

At 12:30 the CTG pattern changes, decelerations turns into accelerations at every contraction. The midwife decides to do an ARM and apply the FSE. When using  FSE  the decelerations are coming back.  If you have accelerations during every contraction always be suspicious that it may be maternal pulse. In this case maternal pulse registered between 12:30-12:48.

uploaded 2011-11-14 by Neoventa Medical