Birth Small Talk

Fetal monitoring information you can trust

Tag Archive for ‘interobserver variability’

Unintended consequences of common-sense choices: Maternal heart rate monitoring on the CTG

In recent years, there’s been increased awareness about the possibility of confusion between maternal and fetal heart rates during CTG monitoring. This new research indicates that adding maternal heart rate data to the CTG might be having a negative impact on CTG interpretation. Read the details on the blog – including my suggestions for how to solve the problem.

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Are midwives accurate? The AAT Part 2.

Last week I explained what the AAT was. This week I want to share research that compared one midwife against another, to see if they were able to generate an accurate assessment of the fetal heart rate pattern, and were able to detect accelerations as reliably as a CTG machine. If you missed last week’s post and don’t know what I’m talking about – you can find it here. How […]

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Do people agree on antenatal CTGs?

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 […]

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