36-year-old G4 P3 with 1 previous scar secondary to EMLSCS due to severe PE, is at 38 weeks

gestation, admitted for IOL i/v/o GDM on insulin. She was given oxytocin for IOL.
develop sudden gush of fluid per vagina
A previously normal CTG attached shows persistent FHR of 80- 90 with prolonged deceleration.

Ask history to come to yr provisional & differential diagnosis:

On further questioning, she has GDM complicated with polyhydramnions with EFW of 3.7kg. She
has gestational hypertension in this pregnancy however urinalysis is normal throughout pregnancy,
no IE symptoms noted.

What is your management at this stage? (What would you like to perform to come to yr final
diagnosis?)

On examination, her vital signs are stable, abdominal examination shows a soft non tender uterus,
cephalic presentation. Ultrasound findings shows viable fetus, no retroplacental/subchorionic clots.
Vaginal examination revealed cervical os of 4cm, fetus is not engaged with prolapsed cord which is
pulsatile at introitus.

persistent fetal bradycardia with prolonged deceleration continues

what is your current management

Subsequently, mother was arranged for EMLSCS.

Mx prior to EMLSCS

Mother was sent to OT and EMLSCS was done. Estimated blood loss 700cc, vital signs are stable
throughout. Baby was born 3.7kg with apgar score at 1 min: 4, 5mins 9. Cord blood was taken
showing umbilical vein ph of 7.3
what is the 2 indications of cord blood gases & ph analysis

Subsequently, baby is lethargic with poor suckling, blood sugar level shows 2.5mmol/L.
Outline yr current mx