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Pulmonary embolism during labor and the effect on the fetus monitored with oxycardiotocography
1Department of Obstetrics and Gynecology, University Hospital Mannheim, Germany.
We report on a rare case of pulmonary embolism which we observed in the second stage of labor. For fetal surveillance we used oxycardiotocography (OCTG), an experimental system which combines internal CTG and pulse oximetry which enabled us to observe hemodynamic reactions of the unborn child and the effect on maternal-fetal gas exchange. It was possible to record marked fetal bradycardia simultaneously with decrease in oxygen saturation in the fetal arterial system during the acute event.
We report on a rare case of pulmonary embolism which we observed in the second stage of labor. For fetal surveillance we used oxycardiotocography (OCTG), an experimental system which combines internal CTG and pulse oximetry which enabled us to observe hemodynamic reactions of the unborn child and the effect on maternal-fetal gas exchange. It was possible to record marked fetal bradycardia simultaneously with decrease in oxygen saturation in the fetal arterial system during the acute event.