toco fecg ctg

CTG Case 24

Baseline heart frequency

Summary

33 year old G 2 P 1. Gest week 40+1. VBAC. Normal pregnancy. Admitted to hospital contracting since 02.00. Admission test normal. VE:Cx ful-ly effaced, dilated 3 cm, vx -2.

09.04 IUPC inserted and FSE applied.
10.40 IUPC comes out and is replaced with an external toco transducer.
12.18 IUPC inserted. VE: Cx fully effaced, dilated 4 cm, vx -2. Epidural sited.
16.30 VE: Cx fully effaced, dilated 5 cm, vx-1. Oxytocin infusion started.
20.30 VE: Cx fully dilated, vx at the spines.
22.29 Active pushing started.
22.45 Baby girl born. Birth weight 3 550 g. Umbilical cord once around the neck and once around the body.

Apgar score 8/10

Cord gases

	pH	pCO₂	BE
Artery	7.19	10.1	-8.8
Vein	7.31	7.4	-4.9

Comment

A case with hyperstimulation despite previous section. Fetus cannot keep its baseline towards the end, however labour progresses well with active pushing.

uploaded 10/3/2013 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.