ST Case 8

Intervention

Summary

38 year old G1/P0. Gest.week 38+3 admitted to hospital in spontaneous labour. Normal pregnancy.

15:05 Admitted to hospital in spontaneous labour. VE: Cx fully effaced, dilated 3 cm, vx -2. At vaginal examination SROM, clear liquor draining. Epidural sited on maternal request.
15:44 FSE applied. ST Analysis initiated. Oxytocin infusion started.
18:00 VE: Cx fully effaced, dilated 8 cm, vx at the spines.
19:48 Labour continues. The ST Event occurred at 19:48 and Oxytocin infusion was decreased due to overstimulation between 19:20-19:30.
21:10 Active pushing started.
23:20 SVD 3560 g. AS 9/19/10.

Cord gases

	pH	pCO₂	BE
Artery	7.29	8.1	-2.4
Vein	7.33	6.4	-1.8

Comment

Alleviation of cause of fetal distress such as overstimulation is the first step to take as an intervention and see if fetal condition improves. In this case Oxytocin infusion was decreased and the CTG trace became normal.

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.