Going backwards with fetal monitoring guidelines
Fetal monitoring guidelines should be evidence-based and assessed to ensure they are fit for purpose.
Perinatal brain injury
New horizons for fetal monitoring: Photoacoustic assessment of the fetal brain and placenta
There is increasing recognition that CTG monitoring hasn’t delivered on its promise to accurately identify the fetus who would benefit from early birth, and therefore has failed to improve perinatal outcomes. This has opened a space for researchers to begin to investigate novel approaches that might prove to be a better tool than the CTG. One of these novel technologies is photo-acoustic assessment. Kang and colleagues from Johns Hopkins, Baltimore, […]
Four things every person working in maternity care needs to know about CTGs
Here are the four things I wish everyone working in maternity care knew about CTG monitoring
Physiological CTG interpretation – I have questions
The history of maternity care is littered with stories of half-baked science that becomes embedded in practice and only too late is discovered to be ineffective and challenging to step away from.
“Safety theatre”: fetal monitoring and faulty logic
Catherine Williams recently introduced me to the term “safety theatre”. New research points out why investing in CTG monitors and education won’t improve safety. @BerksMaternity
Central fetal monitoring and the work of maternity clinicians
My doctoral thesis is now out from embargo and freely available. Reading a doctoral thesis is hardly everyone’s idea of a great way to spend an evening (or several), but if you do decide to read it let me know what you think!
Does antenatal CTG monitoring save lives?
Are we doing more harm than good when we use a #CTG for a woman with reduced movements?
Are admission CTGs effective?
Should we offer women a CTG when they present in labour? The answer is a clear NO. #CTG #EFM #EvidenceBasedCare @decdevane @valeriesmithTCD
Is CTG monitoring for higher risk women beneficial?
@melaniethemidwife (aka Melanie Jackson) has put together a fabulous summary of our recent research paper. Thanks Melanie – you have captured it really well! Small, K. A., Sidebotham, M., Fenwick, J., & Gamble, J. (2020, Sept). Intrapartum cardiotocograph monitoring and perinatal outcomes for women at risk: Literature review. Women and Birth, 33(5), 411-418. https://doi.org/10.1016/j.wombi.2019.10.002
Birth Small Talk 