st toco fecg

ST Case 14

Abnormal CTG and no ST Events.

Summary

26 year old G1 P0. Gestation week 40+4. Normal pregnancy.

21:00 Admitted to hospital contracting since 18:00. At arrival painful strong contractions. VE: Cx fully effaced, 4 cm dilated, vx-2. Bulging membranes.
21:30 Epidural sited on maternal request.
22:02 ARM, clear liquor draining. FSE applied, ST Analysis initiated. VE: Cx fully effaced, dilated 4 cm, vx -2.
00:00 VE: Cx fully effaced, dilated 5 cm, vx-1.
02:00 VE: Cx fully effaced, dilated 5 cm, vx-1. Oxytocin infusion started per protocol.
03:15 Oxytocin infusion increased per protocol. VE: Status quo. Physician decides to perform an emergency cesarean section for failure to progress.
03:49 Emergency cesarean section. Babygirl born. AS 9,10,10. Birthweight 4 110 g.

Cord gases

	pH	pCO₂	BE
Artery	7.20	9.1	-8.7
Vein	7.28	6.9	-5.6

Comment

CTG trace with good signal quality and stable T/QRS ratio with no ST Events. Abnormal CTG for more than 60 minutes or less if the FHR deteriorates rapidly, with normal ST requires qualified assessment and checking for non deteriorating fetal state. In this case the physician choose expectant management and close observation. Ceasarean section for failure to progress.

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.