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

Whose fault is it when we can’t agree on the CTG? #EFM #CTG #CTGInterpretation #CentralFetalMonitoring

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….

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?

We don’t actually know which fetal heart rate patterns predict developing brain injury. Why?

Fetal monitoring guidelines should be evidence-based and assessed to ensure they are fit for purpose.

Which fetal monitoring guideline is the best one to use?

The history of maternity care is littered with stories of half-baked science that becomes embedded in practice and only too late is discovered to be ineffective and challenging to step away from.

When you put people back into clinical guidelines you can see previously invisible assumptions.