The CTG as medicolegal protection
“You’ll get sued if you don’t put a CTG on”. Is it true? @louiseroth
EFM
Electronic fetal monitoring
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 […]
What about CTG monitoring for VBAC?
One of the questions I am often asked about is what research says is the best approach to fetal heart rate monitoring for a woman who has previously had one (or possibly more) caesarean births in the past and plans a vaginal birth this time around. There is no simple answer to this question, so it is one I have avoided writing about. Up until now. A new piece of […]
What is the risk of a baby dying during labour?
New research helps us to see what and where the risks are.
To stab or to tickle: It’s a great question!
There are so many unanswered questions relating to CTG monitoring. I get really excited when I see that someone has plans to answer one of them! Here are details about #FIRSTT
CTG monitoring in the Netherlands
This is what CTG monitoring practice looks like in the Netherlands. How does this compare to where you are?
Exploring risk: making the argument for intrapartum CTG monitoring
Does our risk assessment process around CTG monitoring make sense?
What are the gaps in our knowledge?
My wish list for new research about fetal monitoring in labour. @ProfJennyGamble
Why might midwives not support choice of fetal monitoring method?
The problem with guidelines is not that they exist nor that they play a role in structuring good practice. The problem is when guidelines over-reach their purpose.
Who makes decisions about fetal heart rate monitoring and how does it happen?
Myself and my co-authors have a new paper, freshly published with Women and Birth (available here). One of the questions I asked while generating data from my doctoral research was – who made the decision about the approach to fetal heart rate monitoring that any individual woman would use during her labour? At first glance, the answer seemed to be that no one was actively making decisions. I didn’t interview […]
Birth Small Talk 