What is the criteria for CTG?

Normal antenatal CTG trace: The normal antenatal CTG is associated with a low probability of fetal compromise and has the following features: Baseline fetal heart rate (FHR) is between 110-160 bpm • Variability of FHR is between 5-25 bpm • Decelerations are absent or early • Accelerations x2 within 20 minutes.

When should a CTG be done?

Cardiotocography (CTG) can be applied from 28 week of pregnancy, but its most common use after the 32nd week.

What are the indications for fetal monitoring?

The indications of EFM included induction of labour, concern about fetal heart rate, prematurity, epidural, maconium stained liquor, syntocinon, trial of scar, malpresentation, associated medical problems, reduced fetal movements, Antepartum hemorrhage (APH), post maturity, and unable to ascertain reason.

What are the Dawes Redman criteria?

The Dawes/Redman criteria in Huntleigh’s system is the foundation of an automated analysis of the fetal heart rate which alerts after 60 minutes if not all the criteria are fulfilled [1]. The first analysis is made after 10 minutes and if all the criteria are met, the system indicates that the fetus is healthy.

How do you monitor fetal wellbeing?

The tests used to monitor fetal health include fetal movement counts, the nonstress test, biophysical profile, modified biophysical profile, contraction stress test, and Doppler ultrasound exam of the umbilical artery.

What is abnormal CTG in Labour?

An abnormal CTG has two or more features which are non-reassuring, or any abnormal features. Further information about classifying FHR traces: If repeated accelerations are present with reduced variability, the FHR trace should be regarded as reassuring.

Can CTG detect contractions?

Cardiotocography (CTG) measures your baby’s heart rate. At the same time it also monitors the contractions in the womb (uterus). CTG is used both before birth (antenatally) and during labour, to monitor the baby for any signs of distress.

How do you do fetal monitoring?

There are two methods of fetal heart rate monitoring in labor. Auscultation is a method of periodically listening to the fetal heartbeat. Electronic fetal monitoring is a procedure in which instruments are used to continuously record the heartbeat of the fetus and the contractions of the woman’s uterus during labor.

What is FHR in pregnancy scan?

Fetal heart rate monitoring measures the heart rate and rhythm of your baby (fetus). This lets your healthcare provider see how your baby is doing. Your healthcare provider may do fetal heart monitoring during late pregnancy and labor. The average fetal heart rate is between 110 and 160 beats per minute.

What happens if Dawes Redman criteria is not met?

If the Dawes Redman criteria are not met then continue to record the CTG. The computer software assesses the above mentioned dataset and creates a report. The first result is after 10 minutes and is updated every 2 mins up to max of 60 mins. This can be met in as little as 10 minutes (i.e. after the analysis).

What are the guidelines for interpretation and response to CTG patterns?

This document provides guidelines for clinicians in CTG interpretation and response to the CTG pattern of fetuses greater than 28 weeks gestation. It defines a standardised process of interpretation, documentation and management of cardiotocographs (CTG), in particular where variations from ‘normal’ occur.

When should Continuous CTG monitoring start during labor?

Continuous CTG monitoring should start late in the first stage of labor and during the expulsion stage. However, in high-risk pregnancies (s. antepartum indications for CTG), if oxytocics are administered during labor, or if complications arise such as fever, bleeding, or green amniotic fluid,…

Can a CTG be used to evaluate the maternal heart rate?

A CTG can only be evaluted if the signal failure rate is less than 15 %. At the beginning of monitoring and in cases of doubt the maternal heart rate must be differentiated from that of the fetus. The maternal heart rate, which many CTG units also monitor, can be plotted in parallel on the CTG.

What does an abnormal CTG mean during pregnancy?

Cardiotocography (CTG) is used during pregnancy to monitor the fetal heart and contractions of the uterus. It is most commonly used in the third trimester. Its purpose is to monitor fetal well-being and allow early detection of fetal distress. An abnormal CTG indicates the need for more invasive investigations…