st us toco fecg iup

ST Case 7

Good signal quality

Summary

33 year old G2 P1. Gest.week 39+5. Admitted in spontaneous onset of labour. SROM at 10:00, clear liquor draining and has been contracting since then.

11:12 VE: Cx fully effaced, dilated 4 cm, vx -1. FSE applied. Epidural sited. ST Analysis initiated.
11:22 Poor signalquality noted, the FSE comes off.
11:32 External FHR trace started.
11:50 New FSE applied due to previous poor signal quality and >4 minutes gaps without X:es.
13:48 Maternal pyrexia 38,1 C. IV AB and Panadol given.
14:41 VE fully effaced, 8 cm dilated, vx at the spines.
16:10 Because of the tachycardia and maternal temperature with an Abnormal CTG trace the obstetrician decided to perform ceaserean section.
16:58 C/Section. Baby girl born at 16:58. AS 10/10/10.

Cord gases

	pH	pCO₂	BE
Artery	7.32	3.3	-1.8
Vein	7.37	27	-1.4

Comment

No ST events occured, T/QRS ratio was very stable and still normal variability. Physician on call decided to deliver with caesarean section because of tachycardia, maternal pyrexia and an Abnormal CTG trace > 60 min and no ST change. Abnormal CTG pattern for more than 60 min with normal ST requires qualified assessment.

Please observe the X:es are coming very close because of a higher Baseline Heart Rate. 30 heartbeats gives 1 X, equals 6 X:es if the baseline is 180 bpm.

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.