Does CTG monitoring work for women with risk factors?
Today’s post shares the back story behind our paper. #CTG #EFM #PerinatalMortality #CP
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Perinatal mortality
Dawes Redman system
A student in my Fetal Monitoring for Maternity Professionals course asked me about this recently – and I realised I had never written about it, despite having promised to do so a few times! This is for Natalie, with gratitude. What is the Dawes Redman system? As an Australia maternity care provider, I have never encountered the Dawes Redman system in clinical practice. Its use seems to be widespread in […]
When is CTG use in labour a good idea?
Fetal monitoring guidelines around the world recommend CTG use in labour when women are considered to be a higher risk for a bad outcome for the baby that is linked to low oxygen levels in labour. Regular readers of my blog will have seen me write repeatedly about the lack of great evidence to back this up. There’s no compelling research showing better outcomes with CTG use for women planning […]
Does counting each baby save babies lives?
Why did the Each Baby Counts program not made a difference?
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 […]
Is more technology the solution to fetal monitoring?
The thinking that went into the creation of CTG monitoring was itself fundamentally flawed.
How to guess fetal blood pressure
Can you accurately guess fetal blood pressure from the heart rate pattern? #AI #CTG #EFM #FetalMonitoring #Physiology #Sheep
Assessing the safety of hospital birth
Asking whether hospital birth is safe is very different to asking whether home birth is safe. What does the latest Cochrane review say?
Do bigger women benefit from intrapartum CTG monitoring?
CTG monitoring is often recommended for women with higher BMI. What does the evidence say?
Why does heightened awareness of reduced fetal movements not prevent perinatal death?
It seems logical that it should work, but focussing on fetal movement hasn’t improved outcomes. And I think I know why… #CTG #Ultrasound #IOL #Birth #Maternity #Midwifery #Obstetrics
Birth Small Talk 