A 36 year old G1P 0. Gest.week 40+4. Admitted to hospital contracting since morning. Normal pregnancy.
Birth weight 2 210 g. Baby admitted to NICU, SGA. Apgar score: 7/9.
This case shows the importance of adjusting the TOCO for the assessment of decelerations. In the presence of recurrent late decelerations and decreased variability in early labor it is important to evaluate if there is a reason to continue labour. An abnormal CTG tracing with minimal variability when ST Analysis was initiated is against the recommendations.