This Patient Case Review features a simple case with normal physiology and continuous CTG interpretation is ongoing due to oxytocin infusion. Questions to be asked are: What do we do when a ST event occurs on a normal CTG trace? Should you consider stopping the oxytocin infusion when in active stage? The answer lies in understanding the physiology.

Patient background

  • 32 years of age, BMI 28
  • P2 – x2 uncomplicated vaginal births 
  • Genetic familial neonatal seizures 
  • Depression medicated with Citalopram 
  • Anemia – had iron infusion during pregnancy 
  • 36w scan – growth 71st centile, normal dopplers and normal amniotic fluid 
  • IOL 39W + 6D 
  • Prostin ® 

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