st us toco fecg

ST Case 9

Variable decelerations

Summary

30 year old G 1 P 0, Gest.week 40+4. Normal pregnancy. SROM since 48 hours, admitted with contractions. IV AB starts.

12:00 Epidural sited, VE: Cx fully effaced, dilated 5 cm, vx -1. Clear liquor draining.
12:34 ST Analysis initiated. Oxytocin infusion in progress.
16:45 VE: Cx fully effaced, dilated 7 cm, vx at the spines.
17:30 Oxytocin infusion decreased due to overstimulation, 6 contractions/10 min.
19:00 VE:Cx dully dilated, vx +1. Waiting for the head to descend.
20:00 Acitve pushing starts.
20:22 SVD Babygirl. Birthweight 3 440 g. AS 8/9/10.

Cord gases

	pH	pCO₂	BE
Artery	7.21	9.1	-7.1
Vein	7.26	5.7	-5.4

The cord twice around the neck

Comment

In this case the ST Analysis gives good support desicion to not intervene.

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.