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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