Book contents
- Handbook of CTG Interpretation
- Handbook of CTG Interpretation
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Acknowledgements
- Glossary
- 1 ‘An Eye Opener’: Perils of CTG Misinterpretation
- 2 Fetal Oxygenation
- 3 Physiology of Fetal Heart Rate Control and Types of Intrapartum Hypoxia
- 4 Understanding the CTG
- 5 Applying Fetal Physiology to Interpret CTG Traces
- 6 Avoiding Errors
- 7 Antenatal Cardiotocography
- 8 Intermittent (Intelligent) Auscultation in the Low-Risk Setting
- 9 Current Scientific Evidence on CTG
- 10 Role of Uterine Contractions and Intrapartum Reoxygenation Ratio
- 11 Intrapartum Monitoring of a Preterm Fetus
- 12 Role of Chorioamnionitis and Infection
- 13 Meconium
- 14 Intrapartum Bleeding
- 15 Labour with a Uterine Scar
- 16 Impact of Maternal Environment on Fetal Heart Rate
- 17 Use of CTG with Induction and Augmentation of Labour
- 18 Recognition of Chronic Hypoxia and the Preterminal Cardiotocograph
- 19 Unusual Fetal Heart Rate Patterns
- 20 Intrauterine Resuscitation
- 21 Management of Prolonged Decelerations and Bradycardia
- 22 ST-Analyser (STAN)
- 23 ST-Analyser
- 24 Role of a Computerized CTG
- 25 Peripheral Tests of Fetal Well-being
- 26 Operative Interventions for Fetal Compromise
- 27 Nonhypoxic Causes of CTG Changes
- 28 Neonatal Implications of Intrapartum Fetal Hypoxia
- 29 Role of the Anaesthetist in the Management of Fetal Compromise during Labour
- 30 Medico-legal Issues with CTG
- 31 Ensuring Competency in Intrapartum Fetal Monitoring
- 32 Physiology-Based CTG Training
- Appendix Rational Use of FIGO Guidelines in Clinical Practice
- Answers to Exercises
- Index
- References
31 - Ensuring Competency in Intrapartum Fetal Monitoring
The Role of GIMS
Published online by Cambridge University Press: 25 March 2017
Edited by
Book contents
- Handbook of CTG Interpretation
- Handbook of CTG Interpretation
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Acknowledgements
- Glossary
- 1 ‘An Eye Opener’: Perils of CTG Misinterpretation
- 2 Fetal Oxygenation
- 3 Physiology of Fetal Heart Rate Control and Types of Intrapartum Hypoxia
- 4 Understanding the CTG
- 5 Applying Fetal Physiology to Interpret CTG Traces
- 6 Avoiding Errors
- 7 Antenatal Cardiotocography
- 8 Intermittent (Intelligent) Auscultation in the Low-Risk Setting
- 9 Current Scientific Evidence on CTG
- 10 Role of Uterine Contractions and Intrapartum Reoxygenation Ratio
- 11 Intrapartum Monitoring of a Preterm Fetus
- 12 Role of Chorioamnionitis and Infection
- 13 Meconium
- 14 Intrapartum Bleeding
- 15 Labour with a Uterine Scar
- 16 Impact of Maternal Environment on Fetal Heart Rate
- 17 Use of CTG with Induction and Augmentation of Labour
- 18 Recognition of Chronic Hypoxia and the Preterminal Cardiotocograph
- 19 Unusual Fetal Heart Rate Patterns
- 20 Intrauterine Resuscitation
- 21 Management of Prolonged Decelerations and Bradycardia
- 22 ST-Analyser (STAN)
- 23 ST-Analyser
- 24 Role of a Computerized CTG
- 25 Peripheral Tests of Fetal Well-being
- 26 Operative Interventions for Fetal Compromise
- 27 Nonhypoxic Causes of CTG Changes
- 28 Neonatal Implications of Intrapartum Fetal Hypoxia
- 29 Role of the Anaesthetist in the Management of Fetal Compromise during Labour
- 30 Medico-legal Issues with CTG
- 31 Ensuring Competency in Intrapartum Fetal Monitoring
- 32 Physiology-Based CTG Training
- Appendix Rational Use of FIGO Guidelines in Clinical Practice
- Answers to Exercises
- Index
- References
Summary
A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.
- Type
- Chapter
- Information
- Handbook of CTG InterpretationFrom Patterns to Physiology, pp. 180 - 184Publisher: Cambridge University PressPrint publication year: 2017
References
Further Reading
Ayres-de-Campos, D, Arteiro, D, Costa-Santos, C, et al. Knowledge of adverse neonatal outcome alters clinicians’ interpretation of the intrapartum cardiotocograph. BJOG 2011;118(8):978e84.CrossRefGoogle ScholarPubMed
Nurani, R, Chandraharan, E, Lowe, V, et al. Misidentification of maternal heart rate as fetal on cardiotocography during the second stage of labor: the role of the fetal electrocardiograph. Acta Obstet Gynecol Scan 2012;91(12):1428e32.CrossRefGoogle ScholarPubMed
McDonnell, S, Chandraharan, E. The pathophysiology of CTGs and types of intrapartum hypoxia. Curr Wom Health Rev 2013;9:158e68.Google Scholar
Chandraharan, E, Lowe, V, Arulkumaran, S. Pathological decelerations on CTG: time for FPS or FBS? Int J Obstet Gynecol 2012:S309.Google Scholar
Chandraharan, E, Arulkumaran, S. Prevention of birth asphyxia: responding appropriately to cardiotocograph (CTG) traces. Best Pract Res Clin Obstet Gynaecol 2007;21(4):609e24.Google Scholar
Chandraharan, E, Lowe, V, Ugwumadu, A, Arulkumaran, S. Impact of fetal ECG (STAN) and competency based training on intrapartum interventions and perinatal outcomes at a teaching hospital in London: 5 year analysis. BJOG 2013;120(s1):428–429.Google Scholar
Pinas, A, Chandraharan, E. Continuous cardiotocography during labour: analysis, classification and management. Best Pract Res Clin Obstet Gynaecol 2015;25:S1521-6934.Google Scholar
Chandraharan, E, Lowe, V, Penna, L, Ugwumadu, A, Arulkumaran, S. Does ‘process based’ training in fetal monitoring improve knowledge of cardiotocograph (CTG) among midwives and obstetricians? Book of Abstracts. Ninth RCOG International Scientific Meeting, Athens, 2011. www.rcog.org.uk/events/rcog-congresses/athens-2011Google Scholar