Re: Persistant Fetal Tachycardia at term

From: Andrew Folley (agfolley@hotmail.com)
Thu Feb 26 10:16:05 2009


Basically a "non reassuring tracing". Suspect this represents some type of dysrhythmia but can you really out hypoxia in this situation. I would think that at 37 + weeks the prudent thing to do would be for AROM and pitocin induction and would not argue with anyone who opted for c-section here.

> Date: Thu, 26 Feb 2009 11:07:19 -0600
> From: john.robertson@medispecialty.com
> To: ob-gyn-l@mail.obgyn.net
> Subject: Persistant Fetal Tachycardia at term
>
> Had an interesting case last week, wondering what others would do:
>
> 32 yo G3P2 presented to the GP's office @ 37&1/7 with fetal tachycardia.
> Sent in to Hospital for NST & US & OB consult. NST Fetal tachy up to
> 200, occ dips to 140 and then return to "baseline". U/S no structural
> abnormalities, N(ormal) fluid, N tone, N resp effort, N movement. Pas
> OB Hx 2 SVDs, second one rapid labour with 6 min second stage.
> Uneventful prenatal course prior, no risk factors known.
>
> What would you do?
>





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