ST Case 16
Intervention
Summary
21 year old G4 P3. Gestation week 40+6. Normal pregnancy.
- 07:05 Admitted to hospital in spontaneous labour since 01:00. VE: Cx fully effaced, 8 cm dilated, vx at 0 station. Membranes intact.
- 08:05 Patient denies pain relief. Labour continues. ARM, clear liquor draining. FSE applied. ST Analysis initiated.
- 09:07 ST Event occurres. VE: Cx fully dilated, vx +1. Patient coping well using breathing technique. When ST Event occurs, the patient is changing position to left side as an intervention.
- 09:18 CTG trace is Normal after change of position.
- 09:50 Patient feels a strong urge to push. Active pushing started, vx visible when pushing.
- 10:13 SVD. Birth weight 2995 g. Apgar 9,10,10.
Cord gases
|
pH |
pCO2 |
BE |
Artery |
7.30 |
7.8 |
-2.2 |
Vein |
7.36 |
6.4 |
-1.8 |
Comment
According to Stan clinical guidelines intrauterine resuscitation is a first step to improve fetal condition. In this case there is an improvement and the patient has a normal vaginal delivery.
uploaded 2012-05-21 by Neoventa Medical