st us toco fecg st-events

ST Case 3

Guidelines followed

Summary

23 year old G 1 P0. Gest. week 40+3. Normal pregnancy.

12:00 Admitted to hospital with spontaneous onset of labour, contracting since 10:00 and SROM at 06:00. At arrival meconiumstained liquor. VE: Cx fully effaced, 4 cm dilated, vx-1.
14:37 Epidural sited on maternal request. VE: Cx fully effaced, 6 cm dilated, vx -1.
15:31 Decelerations visible on external trace. Decision made to initiate ST Analysis and FSE applied.
18:43 VE: Cx fully effaced, dilated 8 cm, vx -1.
19:50 VE: Cx fully effaced, dilated 8 cm, vx at the spines.
19:58 ST event. Oxytocin infusion turned off. Obstetrician decides to perform Caesarean section.
20:08 Caeserean section. Babygirl born. Birthweight 2980 g. AS 9,10,10.

Cord gases

	pH	pCO₂	BE
Artery	7.22	8.2	-7.1
Vein	7.31	5.9	-3.1

Comment

Quick decision is made, where STAN GL are followed. Abnormal CTG and ST Event requires qualified assessment. In this case rapid decision made, acting on the first ST Event with a rapid delivery.

uploaded 2011-11-28 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.