ST Case 4

Arousals

Summary

A 32 year old G1 at P 0. Gest.week 39+3 admitted to hospital in spontaneous labor. VE on admission: Cx fully effaced, 5 cm dilated, vertex at the spines. Normal pregnancy.  External CTG tracing normal on admission.

  • 11.20 ARM with clear fluid. FSE applied.  ST Analysis inititated. 
  • 13.21 ST Event
  • 13.45 ST Event
  • 14.11 ST Event
  • 14.15 Patient feels a strong urge to push. VE : Cx fully dilated, vx +1.
  • 14.39 ST Event
  • 14.50 ST Event
  • 15.19 ST Event
  • 15:30 Active pushing started.
  • 16:25 Spontaneous vaginal delivery. Babyboy 3 740 g. Apgar 9,10,10.

Cord gases

pH BE
Artery 7.31 -2.1
Vein 7.36 -1.8

 

Comment

ST Event on a normal CTG trace is carried out according to the STAN  Guidelines. If there is a Normal CTG and ST Events, the STAN Guidelines recommend expectant management and continued observation.

uploaded 2011-11-28 by Neoventa Medical