Add central fetal monitoring and stir: Is this the solution to understaffing?
What happens when you introduce a central fetal monitoring system into a maternity service who are struggling to provide adequate staffing to maintain safety?
Perinatal brain injury
Maternal heart rate recording to improve outcomes
Many things related to fetal monitoring in labour have been introduced because they seemed like a good idea, but never properly evaluated to determine whether they work (like “Fresh Eyes” checks, and central fetal monitoring). There is increasing recognition that one of the reasons for poor outcomes when CTG monitoring is used is not realising the heart rate being recorded is that of the woman and not her fetus. Many […]
Hypoxic ischaemic encephalopathy prevention: is it working?
Hypoxic ischaemic encephalopathy (or HIE) is a condition affecting newborn infants. As the name suggests, it relates to low oxygen supply (hypoxia), and / or reduced blood flow (ischaemia) causing damage (-pathy) to the brain (encephalo-). Other parts of the body might also show signs of damage from low oxygen, like the kidneys or the gut. It is diagnosed when there is a combination of high acid levels in umbilical […]
How to guess fetal blood pressure
Can you accurately guess fetal blood pressure from the heart rate pattern? #AI #CTG #EFM #FetalMonitoring #Physiology #Sheep
Brain changes and accelerations
Can #CTG changes predict the degree of severity of brain injury seen on #MRI? Yes. And is this information useful in practice? Not yet…. #HIE
When the lawyers change their minds, everything changes
Could there be a big change coming? What would happen if CTGs were no longer accepted as legal evidence?
Do bigger women benefit from intrapartum CTG monitoring?
CTG monitoring is often recommended for women with higher BMI. What does the evidence say?
Computer analysis of the CTG – is it working?
Where are we up to with computer interpretation of the CTG? #CTG #EFM #FetalMonitoring #Maternity #Midwifery #Birth #Obstetrics
Up is good, down is not
New evidence about the relationship between decelerations, accelerations, and hypoxic brain injury.
Exploring risk: making the argument for intrapartum CTG monitoring
Does our risk assessment process around CTG monitoring make sense?
Birth Small Talk 