Ms. Doe was admitted to a hospital at 29 weeks gestation. At the time of her hospital admission, she was suffering from vaginal bleeding, and the fetus had decreased fetal movement. She began continuous fetal monitoring and experienced ongoing contractions. The fetal monitoring was unreliable in that the providers had difficulty obtaining and maintaining consistent fetal heart rate tracings.
Ms. Doe experienced decelerations and there was an inability to obtain fetal heart tones. She was then taken to a delivery room, where about 30 minutes passed without a documented fetal heart tracing.
Ms. Doe underwent an emergency Cesarean section, but her child was delivered in need of extensive resuscitation. Despite this effort, the child died. An autopsy revealed no congenital abnormalities.
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