It’s a valid question. With at least 40 years of evidence showing that CTG monitoring doesn’t improve outcomes, wondering why we are still doing CTGs is a fair question. New research highlights why changing practice is so hard. And I share what I’m going to be doing to make it happen…
The post discusses the importance of practitioners being skilled in vaginal breech birth, highlighting the ethical implications of stating, “I don’t do vaginal breech birth.” It emphasizes that women often lack control over their birthing circumstances and need competent care providers to ensure safe delivery, advocating for comprehensive training and skill development in maternity care.
The article reviews a recent paper on fetal monitoring during labor by Richmond et al. which lacks a reference list, undermining its educational value. While it identifies some correct points about fetal heart rate interpretations, it perpetuates outdated practices and fails to acknowledge the need for consent in monitoring, thus serving more as promotional content than genuine education.
After months of behind the scenes work with designers and suppliers, trialling different options, and learning how to use Shopify – I’m beyond excited to introduce you to the Birth Small Talk merchandise range. The shop is now open so you can go explore and make your mind up about whether to buy just one thing, or one of EVERYTHING! You’ll find: (*not tested with real zombies) AND This stunning […]
Recent research in fetal sheep indicates that existing CTG technology may overlook critical heart rhythm abnormalities due to low oxygen levels. Further studies are necessary for validation.
A recent Finnish study explored HIE and its preventability with CTG use. Findings suggest that timely interventions may have avoided HIE for one in five women with an affected. However, this study does not establish CTG superiority over intermittent auscultation for monitoring fetal health.
When is fetal monitoring not fetal monitoring? #EFM #CTG #LanguageMatters
In 2023, the MBRRACE-UK report showed an 18.3% decline in birth rates since 2013 with minimal improvements in mortality rates. Despite investment in maternal care, the rate of change in perinatal mortality rates is very slow and subject to outside influences. There is a strong need for effective intervention strategies.
A summary of the research outputs from the Midwifery Futures project.
A recent study examined intermittent auscultation during labor in various UK birth settings. It found that local policies exist in most units, but training and competency assessments were inconsistently implemented. The reliance on certain fetal monitoring devices and practices raises concerns, as does the use of outdated training programs and practices.
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