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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