CTG Case 8

Saltatory pattern

Summary

24 year old G 1 P0. Gest.week 38+2. Oligoydramnios. AFI 41. Induction of labour.

  • 10:01 Induction of labour with ARM, clear liquor draining. VE: Cx fully effaced, dilated 3 cm, vx-2.
  • 11:00 Oxytocin infusion started.
  • 14:00 Epidural sited on maternal request.
  • 15:00 VE: Cx fully effaced, 6 cm dilated, vx -1.
  • 18:30 VE: Cx fully effaced, 8 cm dilated, vx at the spines. Oxytocin on highest recommended level.
  • 19:30 VE: Cx fully dilated, at the spines.
  • 20:42 VE: Cx fully dilated, vx+2. Active pushing started and physician decides to deliver with vacuum extraction.
  • 20:57 Vacuum extraction. Babyboy born. AS 5, 7, 9.VE midcavity. Birthweight 2955 g.

Cord gases

pH pCO2 BE
Artery 6.99 7.50 -13.8
Vein 7.14 7.98 -9.1

 

Comment

Fetus cannot keep its baseline heart frequency and with decreasing variability, needs immediate delivery.

uploaded 2011-11-28 by Neoventa Medical