toco fecg ctg

CTG Case 9

Preterminal

Summary

28 year old G 1 P 0. Gest. week 38+3. Normal pregnancy.

12:30 Admitted to hospital, PV bleed. Weak contractions. Normal CTG trace. VE: Cx fully effaced, 2 cm dilated, vx -2. Plan: Continous CTG and ARM as soon as possible.
13:25 ARM. Bloodstained liquor draining. VE: Cx fully effaced, dilated 3 cm, vx -1.
16:25 VE: Cx fully effaced, dilated 4 cm, vx -1.
16:56 Sudden pain per abdomen
16:58 Uterus tensed, 200 ml blood clot per vagina.
17:09 Desicion made for Emergency ceaserean section.
17:20 Caeserean Section. Babygirl born AS 2, 4, 5. Birthweight 3 670 g.

Cord gases

	pH	pCO₂	BE
Artery	6.88	8.2	-15.2
Vein	7.01	7.1	-11.5

Babygirl admitted to NICU

Comment

Ablatio placenta. Preterminal trace and clinical picture with sudden pain demands a rapid decision and delivery.

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.