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ZULFADLI
You are the obstetrician on call for labour
ward when this CTG arrives by fax.
A CTG arrives from labour ward
Analyse and classify this CTG
What is the degree of urgency that
requires your further evaluation of this
patient
What further information do you require
About this patient?
About the resources available to you
A CTG arrives from labour ward
Baseline FHR
Possibly 140 bpm at the beginning and probably 150 at the
end of this recording
Short term variability 5 bpm
Within normal limits but not totally reassuring
Maternal oxygen
administration
Uterine tocolysis
IV Fluids
Betamimetic drugs
Nitroglycerin or Nifedipine
Amnioinfusion
There are no facilities for scalp sampling. You cannot access a
theatre for Caesarean for 45 60 minutes. List and discuss the
pros and cons of the various options for intrauterine
resuscitation that you may consider in the interim.