ST Case 5
Late uniform declerations
Summary
34 year old G 2 P 1. Gest.week 41+5. 1999 Ceaserean section for failure to progress. Normal pregnancy.
- 12:00 Admitted to hospital for induction of labour. 48 hours SROM. VE: Cx 1 cm long, dilated 1 cm, vx -2. 2 mg Prostinglandin given.
- 16:40 In active labour. VE: Cx fully effaced, 3 cm dilated, vx -2. Epidural sited on maternal request. ST analysis initiated.
- 18:01 ST Event. VE: Cx fully effaced, dilated 6 cm, vx -1.
- 21:15 VE:Cx fully effaced, 8 cm dilated, vx -1-
- 22:32 Oxytocin infusion starts.
- 22:50 VE: Status quo.
- 00:30 Increasing Baseline Heart Rate. Maternal pyrexia. 38,1 C. IV AB and Panadol given.
- 00:58 Overstimulation, Oxytocin infusion turned off. VE/Cx fully dilated, vx at the spines.
- 02:30 Physician contacted because of slow progress. Physician busy in operation room.
- 03:45 Physician contacted.
- 03:58 ST event.
- 04:10 Physician present, decides to deliver with vacuum extraction.
- 04:15 Unsuccessful Vacuumextraction, desicion made to perform caesarean section.
- 04:48 Caeserean section. Babygirl 3 345 g. AS 1, 3, 5.
Cord gases
|
pH |
BE |
Artery |
6.82 |
-18.0 |
Vein |
6.95 |
-15.4 |
Comments
A case with slow progress and VBAC. Oxytocin infusion are used even if there are strong contractions. Recurrent late decelerations that gets more pronounced towards the end. A case where STAN GL are not followed and the timeframe from ST Event to delivery is too long.
uploaded 2011-11-28 by Neoventa Medical