Unintended consequences in maternity care
“Being K2ed”: an unintended consequence of central fetal monitoring.
Deciding whether the baby is too small or not: shifting standards
Have you ever wondered how growth charts are created?
Is your lactate meter leading you astray?
Fetal lactate testing in labour:. Are we making the same mistakes but hoping to get a different result?
Central fetal monitoring – time to deimplement?
Questions remain about the safety of central fetal monitoring systems.
Midwives must, obstetricians may: Learning new ways to read guidelines
When you put people back into clinical guidelines you can see previously invisible assumptions.
Three strikes and you are out!
Three strikes and you are out! How a guideline meant to make maternity care safer undermined good communication.
More evidence that intermittent auscultation is safe and effective
More evidence supports the safety and effectiveness of intrapartum monitoring with intermittent auscultation.
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 training in intrapartum fetal monitoring actually work?
Tell me about CTG education in your part of the world. What does it look like? Is it mandatory?
Long-term cardiovascular outcomes of an abnormal fetal heart rate pattern in labour
Low oxygen levels in labour are considered to place the fetus at risk for permanent injury. One of the organs in the body that rely on high levels of oxygen supply is the heart. Physiological reflexes that manifest as CTG changes are, in part, protective for the fetal heart as they redirect blood from other parts of the body to the heart and brain. Historically, low oxygen levels in labour […]
Birth Small Talk 