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?
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 […]
Whose fault is it when we can’t agree on the CTG? #EFM #CTG #CTGInterpretation #CentralFetalMonitoring
We really have no idea what we are doing when it comes to fetal blood sampling during labour. Maybe we should stop doing it.
CTG monitoring is in use during a woman’s labour. The fetal heart rate pattern is now abnormal. As her maternity professional, you know that the positive predictive value of the CTG is low, and want to avoid caesarean section unless it is going to improve the fetal outcome. And you don’t want to misidentify when caesarean section is a great idea and as a result have an avoidable poor outcome […]
Can you record an EEG signal with a fetal spiral electrode? And why might you want to?
Birth Small Talk 