The CTG as medicolegal protection

“You’ll get sued if you don’t put a CTG on”. Is it true? @louiseroth
Electronic fetal monitoring
“You’ll get sued if you don’t put a CTG on”. Is it true? @louiseroth
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 […]
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 […]
New research helps us to see what and where the risks are.
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
This is what CTG monitoring practice looks like in the Netherlands. How does this compare to where you are?
Does our risk assessment process around CTG monitoring make sense?
My wish list for new research about fetal monitoring in labour. @ProfJennyGamble
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.
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 […]