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 […]
What happens when you introduce a central fetal monitoring system into a maternity service who are struggling to provide adequate staffing to maintain safety?
We expect that evidence based guidelines are written by people who can critically review and use evidence. Sometimes that’s not what happens though. Here’s an example….
Sometimes I like to write about ideas rather than research. Here is a collection of musings that might give you ideas too.
Can you record an EEG signal with a fetal spiral electrode? And why might you want to?
How are we doing when it comes to talking to women about fetal monitoring options and respecting their decisions? #InformedChoice #SharedDecisionMaking #MidwiferyContinuityOfCare #RespectfulMaternityCare
Medical indications exist somewhere on a spectrum between being written on tablets of stone, handed down to new doctors by a supreme being on a mountain top – to being completely made up on a whim. What happens when they are misused?
Birth Small Talk 