2 Clinical assessment and recording
3 Auscultation of the fetal heart rate
4 Electronic fetal monitoring – terminology and interpretation
5 Pathophysiology of fetal heart rate (FHR)
6 NICE and FIGO guidelines for interpretation of FHR patterns
7 Antepartum fetal surveillance
8 The admission test by cardiotocography or by auscultation
9 Assessment of uterine contractions
10 Oxytocin and fetal heart rate changes
11 Meconium, infection, anaemia, bleeding
12 Cardiotocographic interpretation: additional clinical scenarios
13 Cardiotocographic interpretation: more difficult problems
14 Fetal scalp blood sampling pH and lactate
15 Fetal ECG waveform analysis
16 Medico legal issues with CTG and current strategies to reduce litigation
17 Competency testing in CTG interpretation prior to practice
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
• Donald Gibb, MD MRCP FRCOG, Independent Obstetrician and Gynaecologist, The Birth Company (part of The Portland Hospital), Harley Street, London, UK.
• Sabaratnam Arulkumaran, Professor Emeritus, Division of Obstetrics and Gynaecology, St George’s University of London, London, UK