Induction for post-dates, oxytocin
Room 2GA 41+3G2P133 yRuptured 08:00 (artificial), clear
4 cm, oxytocin 4 hours, decelerations noted. Needs assessment.
41+3wksG2P1 · 33 y
- Triage
- Latent
- Active
- Second stage
- Delivery
- Postpartum
12:00: 4 cm, 80% effaced, station -1
Maternal
- BP
- 108/64
- HR
- 94
- Temp
- 37.1
- Labs
- no flags
- Running
- Oxytocin, Epidural
Fetal
- Monitor
- Decelerations noted
- Presentation
- Cephalic, occiput transverse, station minus 1
- Membranes
- Ruptured 08:00 (artificial), clear
- Next
- Assess now
Summary
33-year-old G2P1 at 41+3, induction for post-dates, oxytocin. 4 cm, oxytocin 4 hours, decelerations noted.
- Membranes
- Ruptured 08:00 (artificial), clear
- Fetal presentation
- Cephalic, occiput transverse, station minus 1
- Board status
- Needs assessment
Notes
- Post-dates induction; a normal growth scan at 40 weeks with a normal liquor volume.
- Over the last 20 minutes the monitor shows recurrent late decelerations with minimal variability.
- Maternal BP 108/64 after the epidural; she is comfortable.
Plan
- Intrauterine resuscitation and senior review now
- Document the strip as read: baseline 150, minimal variability, recurrent lates, Category II
Medications
- Oxytocin: Infusion, currently 8 mU/min, titrated since 08:00
- Epidural: Sited 10:30
Maternal vitals
| Time | HR | BP | Temp |
|---|---|---|---|
| 08:00 | 82 | 122/78 | 36.8 |
| 11:00 | 90 | 108/64 | 37 |
| 12:00 | 94 | 108/64 | 37.1 |
Labs
- Haemoglobin112 g/L
- GBSNegative
- Blood groupA positive
What to watch
- Does the pattern resolve within 15 to 30 minutes of stopping oxytocin?
- Variability: if it becomes absent, this is Category III
- Progress at the examination
OBGynSpace Tutor
It knows the chart and the monitor's context; it will not answer the pending decision or read the strip for you.