There is no doubt that standard “wired” CTG monitoring restricts mobility during labour and favours recumbent positions on the bed during labour (Watson, et al., 2022). I often hear people say that this leads to longer labours, contributing to the rise in caesarean section rate seen with CTG monitoring. This post explores the evidence for this from randomised controlled trials comparing intermittent auscultation with continuous CTG monitoring in labour. Labour […]
One of the questions I am often asked about is what research says is the best approach to fetal heart rate monitoring for a woman who has previously had one (or possibly more) caesarean births in the past and plans a vaginal birth this time around. There is no simple answer to this question, so it is one I have avoided writing about. Up until now. A new piece of […]
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 […]
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?