Electronic fetal monitoring
The Fetal Monitoring Academy offers a comprehensive library of resources for fetal monitoring, merging previous courses and adding new modules. It operates on a subscription basis, providing ongoing access and a supportive online community, the Common Room, for collaboration. Enrol before February 19, 2025, for an early bird discount.
Prevalence-induced concept change is a psychological phenomenon where the meaning of a concept shifts due to declining frequency of related events. Over time, the definition of “high risk” in maternity care has expanded despite reduced perinatal mortality, leading to shifts in CTG usage.
A comprehensive literature review by researchers in the UK examined the safety of CTG monitoring in maternity care, identifying prominent system-level issues, including unsafe organizational cultures and inadequate staffing. It is import to focus on staffing, supportive environments, and respectful care to improve outcomes rather than unproven practices.
2024 was a big year for me. And 2025 looks set to be even more amazing! This is what I got up to this year, and what I have planned for the next.
This week I explore flawed beliefs in the effectiveness of fetal monitoring technology through a circular argument. It highlights three steps: assuming success when bad outcomes don’t occur, blaming individuals when they do, and declaring some cases unavoidable. It’s time the research to settle this was done.
Informed consent is a critical principle in healthcare. A recent Australian survey revealed that many women lacked sufficient information and choice about fetal monitoring methods. Only 35% reported being asked for consent. This highlights a significant issue in maternity care, and it is well past time it was addressed.
A recent review examined the relationship between abnormal heart rate patterns in CTG monitoring and various neonatal outcomes. While some links were identified, particularly with hypoxic ischaemic encephalopathy, overall connections were weak. The evidence suggests CTG monitoring may not be as clinically useful as presumed, prompting calls for alternative monitoring methods.
The development of the cardiotocograph (CTG) in obstetrics evolved from earlier fetal monitoring methods over a century. While intended to enhance fetal safety, its integration shifted focus towards legal liability and technology reliance, often undermining maternal care. Concerns about research integrity and the effectiveness of CTGs suggest the need to reassess their use in maternity care.
The third part of a series critiquing common myths about fetal heart rate monitoring. It emphasises that fetal monitoring is not essential for good outcomes, and intermittent auscultation IS fetal monitoring.
Does CTG misinterpretation harm babies? Or is something else going on?
Birth Small Talk 