Doc750
transfer:step 3 prison
Topics: 52
Posts: 634
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A 31 year old obese G4P3 woman with a history of gestational diabetes in two of her previous pregnancies is in active labor at 41 weeks gestation. She had an uncomplicated pregnancy and a negative glucose tolerance test. The patient's membranes spontaneously ruptured 2 hours ago and she is currently experiencing regular contractions every 2-3 minutes. The patient's vital signs are within normal range, and her pain is adequately controlled with an epidural. The fetal heart tracing is illustrated below:
1) What abnormality is illustrated on the fetal heart tracing?
2) What causes this abnormality?
3) What is the most appropriate treatment for this condition?
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| me007
Forum Guru
Topics: 72
Posts: 799
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1. positive CST, (if late decelerations associated with at least 50% of contractions)
2. fetoplacental insufficiency, fetus is hypoxemic
3. delivery
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| faraym
Forum Addict
Topics: 24
Posts: 811
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Fetal distress, Hypoxia, emergency section.
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| nany
Forum Guru
Topics: 14
Posts: 1,060
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variable decelerations
head compression
no impact on outcome....go on normally
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| Ivonne
Find a way or make one
Topics: 58
Posts: 1,618
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1.-Nonreactive NST, positive CST
2.-Uteroplacental insufficiency and fetal hypoxemia
3.-Baby needs to come out ASAP
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| nany
Forum Guru
Topics: 14
Posts: 1,060
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how could I say that this is variable deccelerations ??!!!!!!!!
variables start suddenly and ends suddenly....stupid mistake
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| jasmin
Forum Junior
Topics: 7
Posts: 40
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fetal heart tracing shows decresed variability (IT CAN BE A SLEEP PATTERN)with early decelerations.
Early decelerations cused by head compression.
G4 P3 every 2 to 3 mts getting contractions must be in active labour. CTG is also confirming that she is getting moderate and freqent contracions .I will do a pelvic examination and decide depending upon the cevical dilatation and station of head.
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