In the 38
– week of pregnancy, Mrs.Partina returned to the hospital, complaining that shehad been having regular contractions for 8 hours. She knew the baby was still moving, nowater broke.
Vital signs: within normal limits
Fundal height: 35 cmOn Leopold 1 a soft, soft mass was palpated in the fundus, with largest resistance on the leftside of the womb. Small fetal parts were palpable on the right during Leopold 2. On the areaabove symphisis a globular, round mass was detected by Leopold 3, it was no longer moveable. An acute angle was formed between the two examining palms.Fetal auscultation: revealed FHR 150 bpm, regular.Contraction: once in every 6 minutes, lasting 20 seconds, weak
Admission test (cardiotocography) result was consulted to feto-maternal consultant andthe result was as follow:
Baseline: 145-150 bpmVariability: 5-10 bpm, presence of 2 acceleration without deceleration during a 20minutes period.Contraction: once in every 6 minutes, amplitude : 25Conclusion: fetal in good condition
Vulva/ vagina: no abnormalitiesPortio: axial position, soft, effacement: 80%Cervical dilatation: 4-5 cmAmniotic membrane : intactPresenting part: occiput on the left anterior position, station +2Mrs. Partina was informed about her and the baby’s condition, and the doctor’s plan to havelabor augmentation. She wanted to know if she could have a spotaneous delivery and alsoabout the risks and benefit of having labor augmentation.The doctor explained everything about this plan and about the risk of having labor augmentation.After a while Mrs. Partina and her husband agreed to the doctor’s plan.