CTG Case 6 – Headpressure
Summary
35 year old G4 P3. Gest.week 40+3. Normal pregnancy. 1999 SVD Birthweight 3640 g, 2001 SVD Birthweight 3780 g. 2002 Birthweight 3510 g.
- 22:15 Admitted to hospital contracting since 16:00 och SROM since 21:00. At arrival thick meconiumstained liquor.
- 22:50 VE: Cx fully effaced, 7 cm dialted, vx -1. FSE applied.
- 23:00 Recurrent late decelerations are noted. Physician contacted.
- 23:30 Labour continues, quick progress. VE: Cx fully dilated, vx+2. Active pushing started.
- 23:38 SVD. AS 9/10/10.
Cord gases
| pH | BE | |
| Artery | 7.24 | -4.2 |
| Vein | 7.29 | -3.6 |
Comment
Repetetive late decelerations generates an Abnormal CTG. In this case it is a rapid progress and therefor no action taken. The CTG trace shows head pressure in the end of the trace. As a result a bradycardia just before delivery.