25 year old woman in labor has fetal heart tracing as shown below. What is your diagnosis. She is G2 P1 with prior cesarean delivery
High-Yield Explanation
Fetal heart tracing shows non reassuring FHR pattern with variable heart decelerations that evolve into late decelerations and brady cardia. Rupture apparently stimulated reflex push, after which uterine tone diminished and bradycardia worsened.