Question 209 · LEK · Assessment of fetal condition and development
In a pregnant (41 week of pregnancy) CTG test was done. It showed a basic heart rate 145/minute. The heart rate started to drop to 110/minute at the top of each contraction and it has been observed for the last 20 minutes. This record shows:
- A. utero-placental insufficiency and it is an alarming sign because it precedes intrauterine foetal death.
- B. foetal head compression and vagus nerve irritation and is not an adverse symptom unless it correlates with extended basic changes in the heart rate.
- C. it is an indication for shortening the second stage of labour.
- D. threat of intrauterine asphyxia and the need to consider a caesarean section.
- E. none of the above.
Hint
Note when the decelerations occur relative to the contraction peak and whether the baseline is affected.
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