By Susan Gauge SRN SCM ONC ADM

This identify is now to be had less than ISBN 9780702052149.

CTG Made effortless 4th variation maintains the profitable layout of earlier variants, supplying a realistic advisor to all overall healthiness pros fascinated about tracking the fetal middle cost in the course of labour, and in particular within the interpretation of CTG lines. The workbook process is still, with many new and up-to-date case histories and CTGs, all utilizing present terminology and a instructed proforma for interpretation.

The publication will reduction future health execs to obtain competence and self assurance in all elements of fetal center price tracking in the course of labour, bettering the care provided to ladies and babies.

    • In-depth debate on number of intermittent or non-stop digital fetal center fee tracking allows right id of definitely the right approach
    • Updated references and suggestions from most up-to-date nationwide instructions ascertain readers have entry to present research-based proof and specialist opinion
    • Clear rationalization of the body structure of baseline and periodic abnormalities offers very important details for interpretation and evaluate of fetal compromise
    • CTG good points are defined following up to date options from NICE
    • Charts describe the category of CTGs and illustrations describe variable decelerations to assist realizing
    • Discussion of present adjuncts to digital fetal middle fee tracking provide the reader perception into present advancements and attainable destiny perform
    • RCOG and great proforma and classifications reduction consistency in interpretation and use of terminology
      • Recent situations of litigation are used to illustrate the problems encountered with tracking thoughts and interpretation of the information, giving the reader an perception into situations that continue to litigation

      New to this edition

      • Evidence with regards to fetal tracking in labour up-to-date to present nationwide guidance
      • Expanded part debating the problems surrounding intermittent auscultation as opposed to non-stop digital fetal middle fee monitoring
      • Expanded part at the physiological keep watch over of the fetal middle price, fetal blood sampling and acid base balance.
      • Risk administration up to date, together with hazards and merits of present tools of fetal middle cost tracking, destiny advancements, and felony concerns
      • References comprehensively reviewed, together with great and RCOG medical guidance

      New on-line resources

      20 extra CTGs and case histories can be found on-line

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      Additional info for CTG made easy

      Sample text

      She has since been better trained and, looking back at the fetal heart traces during the period she was on duty, she sees them as being abnormal. In my opinion, quite a bit of liability must therefore attach to a system which asked midwives to watch a monitor which they are insufficiently trained to understand. All staff, of whatever grade, must be trained in CTG interpretation if they are called upon to use the technology, and compliance with risk management standards now includes mandatory training for the relevant staff.

      Nageotte, M. , et al. (2006). The effect of maternal oxygen administration on fetal pulse oximetry during labor in fetuses with nonreassuring fetal heart rate patterns. American Journal of Obstetrics and Gynecology, 195, 75–79. Impey, L. W. , Greenwood, C. E. , & Black, P. , et al. (2008). The relationship between intrapartum maternal fever and neonatal acidosis as risk factors for neonatal encephalopathy. American Journal of Obstetrics and Gynecology, 198, 49–51. , & Spencer, J. A. D. (1993).

      One such practice involves writing relevant information on the CTG trace, and in one case (Beasley v Fife Health Board [2001]) this was held to have been critical: The pursuer’s evidence is quite clear. She said she never changed position and her feet never left the bed. She denied her legs were moved. It has to be remembered that she was in agony at childbirth and her evidence about changes in position is contradicted by the CTG entries which are deemed to be accurate (per Lord McEwan @ 84). So, good practice can save your skin.

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