CTG Case 9 – Preterminal
Summary
28 year old G 1 P 0. Gest. week 38+3. Normal pregnancy.
- 12:30 Admitted to hospital, PV bleed. Weak contractions. Normal CTG trace. VE: Cx fully effaced, 2 cm dilated, vx -2. Plan: Continous CTG and ARM as soon as possible.
- 13:25 ARM. Bloodstained liquor draining. VE: Cx fully effaced, dilated 3 cm, vx -1.
- 16:25 VE: Cx fully effaced, dilated 4 cm, vx -1.
- 16:56 Sudden pain per abdomen
- 16:58 Uterus tensed, 200 ml blood clot per vagina.
- 17:09 Desicion made for Emergency ceaserean section.
- 17:20 Caeserean Section. Babygirl born AS 2, 4, 5. Birthweight 3 670 g.
Cord gases
| pH | pCO2 | BE | |
| Artery | 6.88 | 8.2 | -15.2 |
| Vein | 7.01 | 7.1 | -11.5 |
Babygirl admitted to NICU
Comment
Ablatio placenta. Preterminal trace and clinical picture with sudden pain demands a rapid decision and delivery.