During this case, the fetus is using its decompensation mechanisms to respond to gradually evolving hypoxia that has been going on for hours. With a short recap of the physiology behind ST Analysis, what are the next steps, how can we predict what comes next, and what actions can improve the fetus’s oxygenation?

Patient background

  • G1 P0 
  • Hypothyroidism 
  • Raised UAD at 20/40 
  • 28 and 36 week scan normal 
  • 39+6 spontaneous onset labor 
  • 4 cm dilated, requesting epidural

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