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fetal death in labour or ealierFrom: ?????? ??????? (yars0906@yandex.ru)Fri Apr 24 05:33:27 2009
Primigravida 20 years was with diagnosis: Pregnancy 39-40 week. Rh-negative blood type. A large fetus. A "mature" of cervix. CTG a fetus within norm, functional tests of a fetus in norm, Doppler - the blood-groove is not broken. Hb 145g/l, Ht 43%, L - 8,3* 10*9, While translating in delivery department complaints to birth pangs within 2 hours, discharge of amniotic fluid, light, 100 ml. Opening cervix 3?m. Fetal heartbeats by a stethoscope as clear, rhythmical 140 /minutes that proves to be true cardiomonitor. PS and blood pressure is norm. Upon 1 hour by a stethoscope in horizontal position of woman fetal heartbeats is not listened, at position change, standing, cardiomonitor(sonicaid team ip trend) FHR 136-140. After 2 hours fetal heartbeats is not listened, at ultrasonic it is diagnosed antenatal death. In childbirth of 9 hours, nonaqueous period 6 hours. Antenatal destruction (ultrasound) 3 hours prior to labour. Pathological anatomy: maceration of cutis I degree, initial signs autolysis internal bodies, intestines slept, meconium in thick intestines, a thrombosis of vessels of an umbilical cord. Questions: . When was a death of a fetus? Antenatal or intranatal? Whether it is possible cardiomonitoring device to listen to a pulsation of vessels of the woman with 120-140 in minutes in position standing? Whether the situation is possible when in horizontal position FHR is not listened, and in position standing to be registered? Best wishes, Alexey Semykin, Delivery department of regional perinatal center, Belgorod, Russia it out.
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