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Re: Case presentation: Let's play what would you do next From: Martha Cecile Graf (mgraf@nmhs.org) Fri Aug 25 11:28:07 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Martha Cecile Graf: "Re: Case presentation: Let's play what would you do next" Previous message: Vivienne Souter: "Re: Cervical checks" In reply to: K Dew: "Case presentation: Let's play what would you do next" Next in thread: Steve & Eryl Raymond: "Re: Case presentation: Let's play what would you do next" I'd be sure I had documented that the nonreactive was there when she was admitted. Check out Phelan's article in Seminars in Perinatology June 2000. He looked retrospectively at a bunch of confirmed CP cases and that nonreassuring from the start was indicative of CP predating labor At 09:38 PM 8/24/2000 -0500, you wrote: >24 yr old, otherwise healthy, primigravid, 40 weeks gestation by dates and >mid second trimester scan, presents to L&D with c/o labor. > >Not in labor, non-reactive fetal activity study. Cervix 80%, soft, >fingertip, -3 station. > >U/S two days prior to presenting to L&D, done to confirm presentation showed >adequate amniotic fluid volume. > >OCT Negative. Decision made to continue pitocin as patient was term, L&D >wasn't busy, (soft reasons I know but there they are) > >Still with non-reactive strip but no decels. contracted every 2 1/2 to 4 >minutes for 8 hours, pitocin level to 24 units/minute, no cervical change. >No decelerations at all but still non-reactive. Mom claims baby is still as >active as it usually is. (no I don't mean that usual=one time per day, but >a reasonably active term baby) It is now 9 pm, mom tired and hungry. > >what would you do next? > >Kevin > M. Cecile Graf, RNC, MSN Clinical Nurse Specialist High Risk Obstetrics Next message: Martha Cecile Graf: "Re: Case presentation: Let's play what would you do next" Previous message: Vivienne Souter: "Re: Cervical checks" In reply to: K Dew: "Case presentation: Let's play what would you do next" Next in thread: Steve & Eryl Raymond: "Re: Case presentation: Let's play what would you do next"

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