By Susan Gauge SRN SCM ONC ADM
This name is now on hand lower than ISBN 9780702052149.
CTG Made effortless 4th version maintains the profitable layout of earlier variations, supplying a realistic consultant to all wellbeing and fitness execs fascinated by tracking the fetal center expense in the course of labour, and particularly within the interpretation of CTG lines. The workbook procedure is still, with many new and up to date case histories and CTGs, all utilizing present terminology and a advised proforma for interpretation.
The e-book will relief overall healthiness execs to procure competence and self belief in all facets of fetal middle cost tracking in the course of labour, bettering the care provided to girls and babies.
- In-depth debate on collection of intermittent or non-stop digital fetal middle price tracking permits right identity of the correct process
- Updated references and proposals from newest nationwide directions confirm readers have entry to present research-based facts and professional opinion
- Clear clarification of the body structure of baseline and periodic abnormalities presents important info for interpretation and review of fetal compromise
- CTG beneficial properties are defined following up to date innovations from NICE
- Charts describe the type of CTGs and illustrations describe variable decelerations to help knowing
- 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 instances of litigation are used to illustrate the problems encountered with tracking innovations and interpretation of the knowledge, 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 cost monitoring
- Expanded part at the physiological keep watch over of the fetal center cost, fetal blood sampling and acid base balance.
- Risk administration up-to-date, together with dangers and merits of present equipment of fetal middle expense tracking, destiny advancements, and criminal concerns
- References comprehensively reviewed, together with great and RCOG scientific guidance
New on-line resources
20 extra CTGs and case histories can be found on-line
Read Online or Download CTG made easy PDF
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Extra info for CTG made easy
E. (2006). Obstetric litigation is asphyxiating our maternity services. Obstetrics & Gynecology, 107, 1382–1385. James, C. (1991). Risk management in obstetrics and gynaecology. Journal of the Medical Defence Union, 7, 36–38. Lord Chancellor’s Department, Civil justice evaluation: Further findings. The Lord Chancellor’s Department. (Online. htm) Mason, J. , & Laurie, G. T. (2010). ). Oxford: OUP. Miller, L. A. (2005). System errors in intrapartum electronic fetal monitoring: A case review. Journal of Midwifery and Women’s Health, 50, 507–516.
50 hours Epidural analgesia commenced. 00 hours 38 Cervical os 6 cm dilated. CTG (Fig. 1). CTG 1 2 3 4 5 What do you notice about the baseline? What do you notice about the baseline variability? What periodic changes, if any, are present? What do you notice about the uterine activity? Would you categorise this CTG as normal/suspicious/ pathological? 6 What is the most probable cause of fetal heart rate abnormality shown on this trace? 7 What treatment and/or intervention would you consider necessary for this fetal heart rate pattern?
The experts agree in their joint statement that the midwife at this stage (06:15/20) should have called for medical assistance because of the persistent tachycardia and variable decelerations (per Judge Grenfell @ 20 and 28). Inevitably, failing to recognise a problem, and thereafter to deal with it, leads to delay in appropriate management. The next section now takes this up. Delay in responding A delay in appropriate management may result either from non-recognition of an abnormal trace, or inaction following the diagnosis of such an abnormality.