Central fetal monitoring systems gather data from CTG machines and show it in a central place. While aimed at improving outcomes this has not been proven in research. Midwives reported disruptions in response to what was seen at the central monitor, leading to altered care practices focused on documentation over support for birthing women. It is time to pause and think, rather than continue to accept the introduction of these systems.
Most women want to be involved in decisions about their maternity care. Do many actually get what they want?
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.
Whose fault is it when we can’t agree on the CTG? #EFM #CTG #CTGInterpretation #CentralFetalMonitoring
One third of intrapartum care is taken up by fiddling about with the CTG
CTGs draw attention from the woman to the technology. Can different technology solve the problem?
When you put people back into clinical guidelines you can see previously invisible assumptions.
I played with a number of analytical techniques when conducting my data analysis. One interesting approach I experimented with was the use of what are known as I poems. (I became aware of them when reading a chapter by Reid, 2017). To construct an I poem you select phrases in the data that start with “I”, collect them together and explore what they say about what people are doing. While […]
Birth Small Talk 