Advanced CTG Masterclass

Intrapartum Assessment of Fetus and Management of Fetus at Risk of Intrapartum Hypoxic Injury

Best practice in intrapartum management

£240 for two full days training, including lunch, tea and coffee for both days.

To book please click on the selected course above and fill out our online application form. Please note administration fee charges of £40 per booking will be made for any cancellations – as we are a not for profit organisation and will have incurred costs.

Please click to view our FAQs and booking policies.

Please click on a course on the table below to book your place.

Please note: for any FULL COURSES, please register your interest. We always review our waiting lists, and will expand course numbers where appropriate. This course has received a high amount of interest, and we will be reviewing this soon. 

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Start Time Name Details Location Price
March 21, 2019 - 8:15 am

Advanced CTG Masterclass – London – 21 & 22 March 2019

London, Venue TBA £240.00
London, Venue TBA £240.00
July 15, 2019 - 8:15 am

Advanced CTG Masterclass – Birmingham – 15 & 16 July 2019

Birmingham, Venue TBA £240.00
Birmingham, Venue TBA £240.00
  • Mr Edwin Chandraharan
    Course Director - CTG Masterclass
  • Susana Pereira
    Speaker -
    Advanced CTG Masterclass

Course Outline

The NHSLA report ‘Ten Years of Maternity Claims’ has highlighted cardiotocograph (CTG) interpretation as a major source of litigation, with the main allegations focusing on the failure to recognise an abnormal CTG and act on it. Failure to refer appropriately and poor documentation were also commonly recognised in the report.

Aims of the Course

This course aims to enable midwives and obstetricians to be the champions of change in their local maternity units to bring about a paradigm shift in CTG interpretation based on fetal physiology so as to reduce unnecessary operative interventions whilst improving perinatal outcomes.

Relevant For

This exciting and hugely popular two-day course is beneficial for all midwives, obstetricians and clinical negligence lawyers who are involved in interpreting CTG traces. A basic knowledge of CTG interpretation would be beneficial, but not essential.


The course is an extended version of our hugely popular one-day CTG Masterclass, and will look in more depth at the CTG monitoring practices. The course will be led by experts in the field including Mr. Edwin Chandaharan and his research team from St George’s Hospital, London.


  • Continuous CTG: Scientific Evidence & The Bitter Truths
  • Individualising Care: Considering the Wider Picture & Understanding the Pitfalls of our current “Guidelines”
  • Pathophysiology of CTG: Understanding Fetal Heart Rate Control & Physiology behind ‘CTG Patterns’
  • Unusual Fetal Heart Rate Patterns: Sinusoidal, Saltatory and Overshoots
  • Understanding Placental Oxygenation: The Fetal ‘Oxygen Cylinder’
  • Recognising Pre-Existing Injury: Chronic Hypoxia and Non-hypoxic Antenatal Insults
  • Recognising CTG Features of different types of Intrapartum Hypoxia & their management
  • Interactive Review of Cases


  • Re-cap: Understanding the types of intrapartum hypoxia in interpreting CTG
  • CTG Monitoring in High Risk Labour: Meconium, infection etc
  • Fetal Acid-Base Balance and the role of Fetal Blood Sampling
  • Can we determine Oxygenation of Central Organs? Role of fetal ECG
  • Principles of Intelligent (Intermittent) Auscultation & the Rational Use of Clinical Guidelines on CTG
  • Mechanism of fetal neurological injury in different types of hypoxia
  • Illustrative Cases: Interactive Discussion
  • Translation of learning into practice: From the Horse’s Mouth