st toco fecg st-events

ST Case 11

Maternal pyrexia. Stan GL followed.

Summary

26 year old G1 P0. Gest.week 41+3. Normal pregnancy.

10:10 Admitted to hospital contracting and SROM since 32 hours. VE: Cx fully effaced, dilated 6 cm, vx -2. Clear liquor draining.
11:11 Epidural sited on maternal request.
12:30 Oxytocin infusion started. VE: Cx fully effaced, dilated 7 cm, vx -1.
14:30 VE: Anterior lip, vx at 0 station. Maternal temp 37,8. One dose of antibiotics given i.v.
15:14 One Biphasic ST in the Event Log.
15:31 Second Biphasic in the Event Log. Intervention required. Physician assessment, decision made for Caesarean section.
15:54 Emergency Caesarean section. Babygirl born. AS 9,10,10. Birthweight 4 410 g.

Cord gases

	pH	pCO₂	BE
Artery	7.24	8.5	-5.9
Vein	7.32	7.2	-3.1

Comment

There is One Biphasic ST Event in the Event Log at 15:14, the CTG trace is Abnormal. At 15:31 the Second Biphasic ST event appears in the Event Log and according to Stan GL: Intervention is required, if no improvement of fetal state, delivery. In this case immediate decision without delay.

IMPORTANT to remember: In the presence of maternal pyrexia, even intermediary CTG pattern may be regarded as significant in combination with ST Event.

uploaded 2012-02-13 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.