Patient is a 29-year-old white female primigravida whose last menstrual period was last August and whose estimated date of confinement is May

Patient is a 29-year-old white female primigravida whose last menstrual period was last August and whose estimated date of confinement is May 14, 37 weeks gestation. She had a normal, uneventful pregnancy. She was seen for the first time in October. Sizes of dates were normal with the length of time. All her prenatal visits were normal. There was no evidence of hypertension although the patient was obese and she gained approximately 30 lbs during the pregnancy. No proteinuria or sugar was noted in her urine and her hemoglobin remained stable throughout the pregnancy. Initial rubella titer showed immunity to German measles. No illnesses were noted during the pregnancy that were reported or required any treatment. She was admitted this a.m. with a history of not having felt the baby move for more than 24 hours. Heart tones were attempted to be elicited by the Doppler Fetone; however, no heart tones were noted by the nurse when she listened with the regular stethoscope. She thought she faintly heard normal heart tones. No fetal movements were noted by the nurse during labor. After the patient had no progress in labor for several hours, internal fetal monitor was applied to the vertex