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Prolonged deceleration — acute event

G2P1, 33 years old39+4 weeks, active labour 8 cmARM 30 min ago, clear liquor

Sudden FHR drop. Mother now reports back pain. BP 140/85.

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Clinical picture

Sudden, sustained drop in FHR. Differential to work through quickly: cord prolapse, abruption, hyperstimulation, hypotension (e.g. post-epidural), uterine rupture.