Why do we want to monitor the baby's heart beat in labour? what are the advantages or disadvantages of listening intermittently over continuous Cardiotocograph (CTG)?
Monty Python Hospital sketch https://www.youtube.com/watch?v=arCITMfxvEc
Evidence to consider:
https://www.cochrane.org/CD006066/PREG_continuous-cardiotocography-ctg-form-electronic-fetal-monitoring-efm-fetal-assessment-during-labour overview
https://www.bmj.com/content/359/bmj.j5423/rr-5 overview
https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.15535 computerised CTG
Improving how we do it:
https://www.rcog.org.uk/en/guidelines-research-services/audit-quality-improvement/each-baby-counts/implementation/improving-fetal-monitoring/
https://www.england.nhs.uk/london/wp-content/uploads/sites/8/2020/03/IFM-Resource-FINAL-04.03.20.pdf
Guidance
https://www.nice.org.uk/guidance/cg190/resources/interpretation-of-cardiotocograph-traces-pdf-248732173
https://physiological-ctg.com/index.html
You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod please check out #MatExp matexp.org.uk for ideas about how to improve maternity experience.
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Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.
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