toco fecg ctg

CTG Case 3

Accelerations or decelerations?

Summary

A 36 year old G2 P1. Gest.week 41+5. Admitted to hospital contracting since midday and SROM.  Meconium stained liqour. Normal pregnancy.

  • 22:10 VE: Cx fully effaced, dilated 5 cm, vx-2. FSE applied.  
  • 22:45 Epidural given and Oxytocin infusion started.
  • 00:10 VE: Cx fully effaced, dilated 8 cm, vx at the spines.
  • 00:43 FSE reapplied.
  • 00:51 Active pushing started.
  • 01:07 SVD. AS 10,10,10.Birthweight 4050 g

Cord gases

pH pCO2 BE
Artery 7.27 7.3 -4.9
Vein 7.31 6.1 -3.1

 

Comment

This case shows a good fetal reaction when FSE is applied, thereafter you see clearly the fetus Baseline Heart Rate. Between 23:12-23:50 it is hard to decide the Baseline Heart Rate, are there accelerations or decelerations ? The physician in this case interpreted the decelerations as early decelerations and a present Normal CTG trace.

uploaded 2011-11-14 by Neoventa Medical