Birth Small Talk

Fetal monitoring information you can trust

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 […]

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Are intrapartum fetal monitoring guidelines fit for purpose?

One of the core assumptions that must be true in order for CTG monitoring to reduce perinatal harm from low oxygen levels, is that there must be recognisable CTG patterns that clinicians can consistently identify, and that are strongly associated with low oxygen levels in the fetus. Measuring oxygenation directly is tricky so alternative measures are generally used instead. Typically, acidosis is measured as low oxygen levels switch metabolic processes […]

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A poem: A midwife thinking

I played with a number of analytical techniques when conducting my data analysis. One interesting approach I experimented with was the use of what are known as I poems. (I became aware of them when reading a chapter by Reid, 2017). To construct an I poem you select phrases in the data that start with “I”, collect them together and explore what they say about what people are doing. While […]

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