st toco fecg st-events

ST Case 2

Guidelines not followed

Summary

23 year old G1/P0. Gest.week 41+6. Normal pregnancy.

16:00 Admitted in early labour with weak contractions. VE: Cx 1 cm long, 2 cm dilated, vx -2.
18:20 Tachycardia and unprovoked decelerations. VE: Cx 1 cm long, dilated 2 cm, vx -2. Decision made for ARM and FSE. ARM, thin meconiumstained liquor draining. FSE applied. ST Analysis initiated.
18:53 Unprovoked deceleration. Patient on the left lateral side.
19:03 First ST event. Obsterician decides to continue labour.
19:07 Second ST event. VE: Cx fully effaced, dilated 2 cm, vx -2.
19:57-19:59 4 ST events in 2 minutes with an increasing rise.
20:08 VE: Cx fully effaced, dilated 3 cm, vx -2.
20:22 Decision made for caesarean section.
20:48 Babygirl born. AS 4,7,8. Birthweight 2 720 g.

Cord gases

	pH	pCO₂	BE
Artery	6.92	7.2	-13.1
Vein	7.04	6.1	-8.7

Babygirl admitted to NICU, discharged after 7 days.

Comment

STAN GL are not followed. Patient in early labor with meconiumstained liquor. At 19:03 there is an ST Event and patient is in early labor. Notice the X:es quick rise during the end of the bradycardia episode.

uploaded 2011-11-14 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.