CTG Case 21
Increasing baseline heart rate
Summary
A 29 year old G1 P0 in gestation weeks 38+4 with diet controlled gestational diabetes is admitted to the labour ward with mild contractions at 15.30. Blood sugar levels are normal.
- 16.12 VE: Cx fully effaced, 3 cm dilated, vx -2. ARM performed, clear liquor draining.
- 16.50 Oxytocin infusion started.
- 17.32 VE: Cx fully effaced, dilated 4 cm, vx -2. Oxytocin infusion stopped due to abnormal CTG tracing. Obstetrician decides to perform a caesarean section.
- 17.57 Caesarean section. Baby girl born.
Apgar score: 8, 9, 10.
Cord gases
|
pH |
pCO2 |
BE |
Artery |
7.22 |
7.6 |
-9.4 |
Vein |
7.31 |
5.6 |
8.7 |
Comment
The fetus is speeding up its heart rate in the end to compensate the oxygen deficiency.
uploaded 2013-04-17 by Neoventa Medical