In some settings, women are offered the option of having intermittent CTG use rather than continuous CTG use. This might look something like having 20 to 30 minutes of CTG use every hour or two, with intermittent auscultation used during the time off the CTG. A first look, this seems like it might be a way to reduce some of the downsides associated with CTG use (like the increased rate […]
Let me begin, like the good researcher I am, by defining some terms. Intermittent auscultation is a type of fetal heart rate monitoring. A device of some sort is used to make it easy to hear the fetal heart rate, so the person listening (auscultating) can assess certain features of the heart rate, to determine whether it is considered normal or not. Typically, a handheld Doppler device is used. This […]
Last week I posted about a literature review that summarised 47 years of research about women’s experiences of labour. The same research team responsible for that paper, has also just recently published new Australian research (Fox et al., 2024) describing women’s current experiences with fetal monitoring in labour. The paper has been published in an open access journal, so you are able to read the full paper yourself. If you […]
Much of the focus in research about fetal monitoring in labour has been on outcomes for the fetus / baby. Not as much has looked at women’s outcomes, and even less has looked at what women say about their experiences with CTG monitoring. But there has been some research, and a team of researchers recently pulled it all together in the one place (Murray et al., 2024). Murray and colleagues […]
CTG monitoring during pregnancy is called non-stress testing in some parts of the world. This is to distinguish it from stress testing, where low doses of oxytocin or nipple stimulation are used to provoke contractions so the way the fetal heart rate responds to contractions can be observed. The term non-stress testing is rather ironic however, as there is a body of evidence showing higher levels of anxiety in women […]
A tall tale about Chris and his attempts to make his daily commute safer. (But it’s actually about CTG monitoring….)
When there’s a string of poor outcomes in a maternity service, and issues around fetal heart rate monitoring in labour are found to part of the problem, what invariably happens next is a recommendation for more and better education. It seems logical to believe that people who know more about the indications for CTG monitoring, how to interpret fetal heart rate patterns, and how and when to intervene in labour […]
“High risk” is a term that gets tossed around a lot in maternity services. Have you ever stopped to think about what is being hidden under the surface when it is used?
There has been a lot of research about whether health professionals agree on what to call the pattern on a CTG during labour. And the experts all agree, that the experts don’t agree. That is to say, there is a troubling degree of variability in how maternity professionals interpret the same CTG pattern. This is something I have written about before (here, here, and here). Until recently, I had never […]
Birth Small Talk 