I had a pt the other night who came in in labor, g2p1, and when she first came in (around 2230) the fhr baseline was running 110-120, with +accels, no decels. then, around 0200, the baseline was down to 100-105 and decreased variabilty and the pt was 250# w/hx of gastric bypass, so it was very hard to pick up ctx d/t large abdomen. but i called the md to make him aware of the decrease in baseline and also that her membranes ruptured and fluid was bloody. i asked if he could come in and put on an internal monitor and an iupc so we could tell if/when she was having decels,ctx,etc. but he said he "just took boards on this and he wasnt concerned". so then the charge nurse called him back about 20 minutes later (after what looked like a couple decels, but of course we couldnt tell, d/t not being able to trace ctx) and he told her the same thing. then he called back about 10 min later and said he would come in and put in an internal monitor. then while he was on his way, pt started bleeding. informed pt of probable c/s and reason (probable abruption, etc) then when md came in, he told her we'd have to do a c/s but then he checked her and she was complete and +2. baby was fine, but i just never thought a doctor wouldnt be concerned about a baseline that low! what do u think about this???