Full Description
CTG Made Easy 4th edition continues the successful format of previous editions, offering a practical guide to all health professionals involved in monitoring the fetal heart rate during labour, and specifically in the interpretation of CTG traces. The workbook approach remains, with many new and updated case histories and CTGs, all using current terminology and a recommended proforma for interpretation. The book will aid health professionals to acquire competence and confidence in all aspects of fetal heart rate monitoring during labour, improving the care offered to women and babies.In-depth debate on choice of intermittent or continuous electronic fetal heart rate monitoring enables correct identification of the appropriate method Updated references and recommendations from latest national guidelines ensure readers have access to current research-based evidence and expert opinion Clear explanation of the physiology of baseline and periodic abnormalities provides vital information for interpretation and assessment of fetal compromiseCTG features are described following up-to-date recommendations from NICECharts describe the classification of CTGs and illustrations describe variable decelerations to aid understanding Discussion of current adjuncts to electronic fetal heart rate monitoring give the reader insight into current developments and possible future practice RCOG and NICE proforma and classifications aid consistency in interpretation and use of terminologyRecent cases of litigation are used to demonstrate the difficulties encountered with monitoring techniques and interpretation of the data, giving the reader an insight into cases that proceed to litigationNew online resources: 20 additional case histories, with feedback, are available online. Evidence relating to fetal monitoring in labour updated to current national guidanceExpanded section debating the issues surrounding intermittent auscultation versus continuous electronic fetal heart rate monitoringExpanded section on the physiological control of the fetal heart rate, fetal blood sampling and acid base balance.Risk management updated, including risks and benefits of current methods of fetal heart rate monitoring, future developments, and legal issues References comprehensively reviewed, including NICE and RCOG clinical guidelines New online resources20 additional case histories, with feedback, available online
Contents
Part 1 Assessing fetal well being in labourIntroductionIntermittent auscultationContinuous electronic fetal heart rate monitoringAdjuncts to CEFM for fetal surveillanceConclusionReferencesPart 2 Interpretation of the CTGControl of the fetal heart rateInterpretation of the CTGFeatures of the cardiotocograph (CTG)Basic patternsPeriodic changesInterpretation of the dataManagement of a suspicious CTGManagement of a pathological CTGReferencesPart 3 Litigation and the CTGAndrew SymonIntroductionBackground to CTG litigationThe CTG in litigationConclusionReferencesPart 4 Case StudiesContentsSection 1 NormalSection 2 BradycardiaSection 3 TachycardiaSection 4 Reduced variabilitySection 5 Early decelerationsSection 6 Late decelerationsSection 7: Variable decelerationsSection 8: Prolonged decelerationsSection 9: ComplexSection 10: MiscellaneousPart 5 Good practice guide IntroductionDeveloping guidelinesAuditCommunicationTraining and developmentSupervisors of midwivesPractical guidesRisk assessment chartWeb addressesReferencesIndex
