ST Case 6 – Importance of CTG interpretation

Summary

26 year old G 1 P 0 Gest. Week 40+6 admitted to hospital in spontaneous labor.  VE at admission: Cx fully effaced, 7 cm dilated, vx -2. Normal pregnancy. Patient denies need for analgesic, using breathing technique for comfort.

• 10.35 ST Event. Oxytocin infusion started.  Patient still denies need for analgesic, using breathing technique for comfort.
• 11.05 ST Event. Oxytocin infusion increased per protocol.
• 12.21 ST Event
• 13.55 Cx fully dilated, vx +1.
• 15:00 Active pushing started.
• 16.20 Spontaneous vaginal delivery. Babyboy 3 820 g. Apgar score 5,6,9.

Cord gases

Admitted to NICU

Comment

This case shows the importance to follow the GL. When the ST Events occurred the CTG was interpreted as an Intermediary  CTG and therefore the labour went on. At onset of ST Analysis it is important to check for reactivity and non deteriorating fetal state. Important with CTG interpretation.