Sinusoidal fetal heart rate pattern with intrapartum fetal death

A case of sinusoidal fetal heart rate pattern with intrapartum fetal death is presented. This pattern has been observed infrequently during both the antepartum and intrapartum periods. Not all sinusoidal patterns may be ominous. A reasonable plan of management includes maternal position change, oxygen administration, scalp sampling and preparation for immediate delivery.