st toco fecg st-events

ST Case 13

Fetal head pressure.

Summary

37 year old G3 P2. Gest. week 40+3. Normal pregnancy.

01:20 Admitted to hospital contracting since a couple of hours. Patient wants pain relief as soon as possible. VE: Cx fully effaced, 6 cm dilated, vx -1. Bulging membranes.
01.45 Using nitrous oxide.
02:07 FSE applied. ST Analysis initiated.
02:14 Signal quality is not adequate.
02:27 FSE reapplied, now good signal quality.
02:49 One Biphasic ST Log message in the Event Log.
03:30 Active pushing started.
03:37 SVD. Baby boy born. AS 10, 10, 10. Birth weight 3 080 g.

Cord gases

	pH	BE
Artery	7.30	-3.7
Vein	7.35	-2.8

Comment

Rapid labour, pressure on the fetal head releases a bradycardia episode just before delivery and triggers one Episodic ST event. Good reactivity when FSE is applied.

uploaded 2012-03-27 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.