With thanks to Maryann Long, CNM, PhD, for bringing Lisa Paine’s work to my attention. I’m always fascinated about how some new ideas “stick” and are incorporated into practice, while others fall by the wayside. Despite having read widely about fetal heart rate monitoring options for the past decade, the Auscultated Acceleration Test never crossed my path. This simple approach seems to have fallen by the wayside. I want to […]
In some settings, women are offered the option of having intermittent CTG use rather than continuous CTG use. This might look something like having 20 to 30 minutes of CTG use every hour or two, with intermittent auscultation used during the time off the CTG. A first look, this seems like it might be a way to reduce some of the downsides associated with CTG use (like the increased rate […]
I wrote this post back in February 2020 when this research was new. It’s a paper I often reference and use in my presentations. I’ve refreshed the post and am sharing it again because I think it contains valuable information. Research published this week by Chuey, De Vries, Dal Cin, and Low (2020) explored facilitators and barriers to the use of intermittent auscultation (IA) rather than CTG monitoring during labour. […]
I was excited to see a new paper, setting out the evidence for intermittent auscultation in labour (Anderson, et al., 2023). It was published in a journal for US based nurse-midwives, so it relates to the context of care in that country. Let’s see how they did in terms of getting the facts right. Is their evidence accurate? They wrote that: All this is correct, except that one of the […]
Does CTG monitoring generate more harm than benefit for babies? Here’s the evidence….
What are the psychological consequences of CTG monitoring? Sadly, we don’t actually know….
Back to basics: What is intermittent auscultation and how is it done?
It’s here! The course you have all been asking for. Enrolments are open for a limited time. Get in quick!
Exploring the values, roles, and meanings attached to fetal monitoring.
This is my regular reminder that CTG monitoring is a choice. Write like you believe this is true.
Birth Small Talk 