st toco fecg st-events

ST Case 10

Guidelines followed

Summary

29 year old G 1 P0 Gest.week 38+4. Gestational diabetes.

15:30 Admitted to hospital contracting with mild contractions. Blood sugar levels normal.
16:12 VE: Cx fully effaced, 3 cm dilated, vx -2. ARM performed, clear liquor draining and ST analysis initiated.
16:50 Oxytocin infusion started.
17:42 First ST event. VE: Cx fully effaced, dilated 4 cm, vx -2. Oxytocin infusion stopped due to Abnormal CTG and ST Event. Obsterician decides to perform caesarean section.
18:32 Caeserean section. Babygirl born. AS 8,9,10.

Cord gases

	pH	pCO₂	BE
Artery	7.22	7.6	-9.4
Vein	7.31	5.6	-8.7

Comment

STAN GL followed. The fetus is speeding up its heartrate to compensate the lack of oxygen. After the bradycardia episode you can see the fetus responding with tachycardia.

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.