Physiological CTG interpretation – I have questions
The history of maternity care is littered with stories of half-baked science that becomes embedded in practice and only too late is discovered to be ineffective and challenging to step away from.
CTG
Cardiotocograph monitoring
“Safety theatre”: fetal monitoring and faulty logic
Catherine Williams recently introduced me to the term “safety theatre”. New research points out why investing in CTG monitors and education won’t improve safety. @BerksMaternity
Mysterious cats and CTG monitoring
I once wrote a post about Dr Who and alternative universes, highlighting the way that people make meaning of their individual experiences. It is important for health professionals to reflect on the way we make meaning because it is easy to slip into what are known as cognitive biases. We can’t always avoid these, but it does help to have examples of these biases to increase the chance that we […]
Unintended consequences in maternity care
“Being K2ed”: an unintended consequence of central fetal monitoring.
Is your lactate meter leading you astray?
Fetal lactate testing in labour:. Are we making the same mistakes but hoping to get a different result?
Central fetal monitoring – time to deimplement?
Questions remain about the safety of central fetal monitoring systems.
Midwives must, obstetricians may: Learning new ways to read guidelines
When you put people back into clinical guidelines you can see previously invisible assumptions.
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 […]
Birth Small Talk 