Episode 162 - CTG monitoring in labour: What it is, what it shows and what you need to know
In today's solo episode, I discuss CTG monitoring. Its fast becoming a regular occurrence in labour, but is it necessary? What are the benefits and the risks? Scroll for full references.
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References
- NICE Intrapartum Care Guideline (NG235)UK guidance on fetal monitoring in labour.
- Supports statements about intermittent auscultation for low-risk women and indications for continuous CTG.
- NICE Fetal Monitoring in Labour Evidence ReviewsDetailed evidence reviews underpinning NICE recommendations.
- FIGO Guidelines on Intrapartum Fetal Monitoring (2015)International guidance on interpretation of CTG traces and fetal monitoring.
- Cochrane Review: Continuous Cardiotocography (Electronic Fetal Monitoring) for Fetal Assessment During Labour (Alfirevic et al.)Key evidence supporting:
- Reduction in neonatal seizures.
- Increased rates of caesarean and instrumental birth.
- Little or no reduction in perinatal mortality.
- Royal College of Obstetricians and Gynaecologists (RCOG) – Fetal Monitoring ResourcesUseful patient-facing information explaining CTG and fetal monitoring.
- Royal College of Midwives Position Statement on Fetal MonitoringSupports discussion of physiological birth, mobility, and informed choice.
- NHS Information on Monitoring Your Baby During LabourAccessible explanation of intermittent and continuous monitoring.
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