Failing at CTG interpretation
If you wouldn’t use runes to decide whether to do a cesarean section, why would you use a #CTG?
Tag Archive for ‘guidelines’
What is wrong with shared decision making?
I’m not saying the goal of shared decision making is inherently wrong – it’s simply too little and too late.
How do CTG guidelines impact doctors’ decisions?
All aspects of maternity care arise as consequences of the decisions that imperfect humans make, often structured by imperfect guidelines, derived from an imperfect or absent research base.
Do bigger women benefit from intrapartum CTG monitoring?
CTG monitoring is often recommended for women with higher BMI. What does the evidence say?
Why might midwives not support women’s choices?
The problem with guidelines is not that they exist nor that they play a role in structuring good practice. The problem is when guidelines over-reach their purpose.
Who makes decisions about fetal heart rate monitoring and how does it happen?
Myself and my co-authors have a new paper, freshly published with Women and Birth (available here). One of the questions I asked while generating data from my doctoral research was – who made the decision about the approach to fetal heart rate monitoring that any individual woman would use during her labour? At first glance, the answer seemed to be that no one was actively making decisions. I didn’t interview […]
It seems we can’t agree on this one….
Whose fault is it when we can’t agree on the CTG? #EFM #CTG #CTGInterpretation #CentralFetalMonitoring
Is that what it really says? When professional guidelines get creative with truth.
We expect that evidence based guidelines are written by people who can critically review and use evidence. Sometimes that’s not what happens though. Here’s an example….
What is a medical indication?
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?
Brain injury and fetal heart rate patterns
We don’t actually know which fetal heart rate patterns predict developing brain injury. Why?
Birth Small Talk 