A recent Australian study investigated women’s experiences with various fetal monitoring methods during labor, finding that wired CTG was predominant. First-time mothers reported more CTG use, which correlated with higher emergency cesarean rates and epidural use. Many women felt monitoring negatively impacted their experiences, highlighting a need for improved woman-centered maternity care practices.
It’s a valid question. With at least 40 years of evidence showing that CTG monitoring doesn’t improve outcomes, wondering why we are still doing CTGs is a fair question. New research highlights why changing practice is so hard. And I share what I’m going to be doing to make it happen…
Recent research in fetal sheep indicates that existing CTG technology may overlook critical heart rhythm abnormalities due to low oxygen levels. Further studies are necessary for validation.
A recent Finnish study explored HIE and its preventability with CTG use. Findings suggest that timely interventions may have avoided HIE for one in five women with an affected. However, this study does not establish CTG superiority over intermittent auscultation for monitoring fetal health.
A summary of the research outputs from the Midwifery Futures project.
A recent study examined intermittent auscultation during labor in various UK birth settings. It found that local policies exist in most units, but training and competency assessments were inconsistently implemented. The reliance on certain fetal monitoring devices and practices raises concerns, as does the use of outdated training programs and practices.
The paper by Westergren et al. (2025) examined how gender norms played out in birth, emphasising the negative impact of “well behaved” women and midwives on birthing experiences.
The paper investigates the relationship between umbilical cord size and fetal heart rate patterns during labor. Findings suggest that less Wharton’s jelly correlates with repetitive heart rate decelerations. However, misconceptions about fetal decelerations and their impact on fetal health were noted, along with a lack of evidence for suggested monitoring interventions.
The Dawes Redman system, used for CTG monitoring in pregnancy, aims to predict adverse outcomes. Recent research indicated a low overall accuracy of 54.4%, with high negative predictive values but low positive predictive values, especially in high-risk scenarios, questioning its effectiveness and endorsement in clinical guidelines.
Fetal heart rate monitoring often shows abnormal patterns that don’t reflect an underlying problem for the fetus. Research on fetal blood sampling has been limited. A recent study found weak correlations between fetal blood pH levels, umbilical cord pH levels and Apgar scores. It is vital that further research takes into account how fetal physiology actually works, rather than repeating inaccurate assumptions.
Birth Small Talk 