Description
The latest edition of this popular book is essential reading for all midwives and doctors working in the labour ward.It has been fully updated but retains the essential features that have contributed to its popularity – an accessible writing style, easy-to-understand explanation of CTGs, and case studies and illustrations to make the content as accessible and practical as possible.Fetal monitoring is a challenging area that requires skill and experience to practise well. This volume explores the subject matter in a detailed but straightforward manner, thus becoming an invaluable resource for health practitioners as well as midwifery and medical students.- Fully updated by internationally renowned editors- Illustrations and case histories make content applicable to practice- Clear and friendly writing demystifies a potentially challenging subject area- Explains the correct use of terminology to help ensure safe and accurate communication- Covers the basics of interpretation, common pitfalls associated with equipment usage, and clinical trial data in context- Explains the underlying pathophysiology associated with abnormal changes seen on the CTG- Clinical scenarios demonstrate common presentations such as breech birth, twin pregnancies, brow presentation, hypertension, and eclampsia- Real CTG traces demonstrate more complex presentations such as prolonged deceleration, placental abruption, and fetal bleeding
Table of Contents
1. Introduction2. Clinical assessment and recording3. Auscultation of the fetal heart rate4. Electronic fetal monitoring – terminology and interpretation5. Pathophysiology of fetal heart rate (FHR)6. NICE and FIGO guidelines for interpretation of FHR patterns7. Antepartum fetal surveillance8. The admission test by cardiotocography or by auscultation9. Assessment of uterine contractions10. Oxytocin and fetal heart rate changes11. Meconium, infection, anaemia, bleeding12. Cardiotocographic interpretation: additional clinical scenarios13. Cardiotocographic interpretation: more difficult problems14. Fetal scalp blood sampling pH and lactate15. Fetal ECG waveform analysis16. Medico legal issues with CTG and current strategies to reduce litigation17. Competency testing in CTG interpretation prior to practice18. Machine Learning19. Fetal Monitoring in the Future
