Three strikes and you are out!
Three strikes and you are out! How a guideline meant to make maternity care safer undermined good communication.
CTG
Cardiotocograph monitoring
More evidence that intermittent auscultation is safe and effective
More evidence supports the safety and effectiveness of intrapartum monitoring with intermittent auscultation.
Central fetal monitoring and the work of maternity clinicians
My doctoral thesis is now out from embargo and freely available. Reading a doctoral thesis is hardly everyone’s idea of a great way to spend an evening (or several), but if you do decide to read it let me know what you think!
Long-term cardiovascular outcomes of an abnormal fetal heart rate pattern in labour
Low oxygen levels in labour are considered to place the fetus at risk for permanent injury. One of the organs in the body that rely on high levels of oxygen supply is the heart. Physiological reflexes that manifest as CTG changes are, in part, protective for the fetal heart as they redirect blood from other parts of the body to the heart and brain. Historically, low oxygen levels in labour […]
Are intrapartum fetal monitoring guidelines fit for purpose?
One of the core assumptions that must be true in order for CTG monitoring to reduce perinatal harm from low oxygen levels, is that there must be recognisable CTG patterns that clinicians can consistently identify, and that are strongly associated with low oxygen levels in the fetus. Measuring oxygenation directly is tricky so alternative measures are generally used instead. Typically, acidosis is measured as low oxygen levels switch metabolic processes […]
Gestational diabetes and CTG monitoring: What does the evidence say?
Is there evidence that #CTG monitoring for women with #GestationalDiabetes improves outcomes? #GDM
Autism and CTG monitoring: an interesting theory
Autism and the CTG: a new hypothesis asks whether there is a connection. @sciencesiren #autism #CTG #EFM
Does antenatal CTG monitoring save lives?
Are we doing more harm than good when we use a #CTG for a woman with reduced movements?
Are admission CTGs effective?
Should we offer women a CTG when they present in labour? The answer is a clear NO. #CTG #EFM #EvidenceBasedCare @decdevane @valeriesmithTCD
Are doctors still improving childbirth?
Is more medical care always better? Reflections on the law of diminishing returns. @susan_bewley @eternal1098 #toomuchtoosoon
Birth Small Talk 