Do bigger women benefit from intrapartum CTG monitoring?
CTG monitoring is often recommended for women with higher BMI. What does the evidence say?
CTG
Cardiotocograph monitoring
Why does heightened awareness of reduced fetal movements not prevent perinatal death?
It seems logical that it should work, but focussing on fetal movement hasn’t improved outcomes. And I think I know why… #CTG #Ultrasound #IOL #Birth #Maternity #Midwifery #Obstetrics
Computer analysis of the CTG – is it working?
Where are we up to with computer interpretation of the CTG? #CTG #EFM #FetalMonitoring #Maternity #Midwifery #Birth #Obstetrics
Up is good, down is not
New evidence about the relationship between decelerations, accelerations, and hypoxic brain injury.
Prolonged pregnancy and counting kicks
In pregnancies progressing beyond 41 weeks (prolonged pregnancy), women and their care providers often seek reassurance of fetal wellbeing to support continuing pregnancy. CTG monitoring is often advised, though there has never been a randomised controlled trial designed specifically to answer this question. Some of the women included in antenatal CTG trials summarised in the Cochrane review had prolonged pregnancies but they were mixed in with other women with different […]
The CTG as medicolegal protection
“You’ll get sued if you don’t put a CTG on”. Is it true? @louiseroth
Does CTG monitoring cause the fetal heart rate to become abnormal?
The design of the very first RCT about CTG monitoring is interesting, and it raised a question which we really haven’t ever answered fully. Does the use of CTGs create the very problem they are meant to prevent?
Does CTG monitoring make labour slower?
There is no doubt that standard “wired” CTG monitoring restricts mobility during labour and favours recumbent positions on the bed during labour (Watson, et al., 2022). I often hear people say that this leads to longer labours, contributing to the rise in caesarean section rate seen with CTG monitoring. This post explores the evidence for this from randomised controlled trials comparing intermittent auscultation with continuous CTG monitoring in labour. Labour […]
Birth Small Talk 