CTG Masterclass

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

 

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The Need For Training

There has been a well-documented need for multi-professional improvements to CTG interpretation for decades to improve neonatal and maternal outcomes.

Issues with fetal monitoring were identified as a leading contributory factor in reports and investigations which look at avoidable deaths in intrapartum care including NHS Resolution’s Early Notification scheme progress report (2019) and Each Baby Counts (2020).

In addition, NHS England (Saving Babies’ Lives, 2019) recommends effective fetal monitoring in labour as one of the key elements of care designed to tackle perinatal deaths, and that training in CTG interpretation should be annual.

Aims and Objectives
  • To understand control of fetal heart rate and the factors that affect the features observed on the Cardiotocograph (CTG).
  • To understand the types of intrapartum hypoxia and resultant features observed on CTG Trace.
  • To appreciate wider clinical picture such as inflammation, infection and meconium whilst interpreting CTG Traces.
  • To ensure rational application of National Guidelines and the role of additional tests of fetal wellbeing to optimise perinatal outcomes.
  • To effect a paradigm shift from pattern recognition to the use of knowledge of fetal pathophysiology whilst interpreting CTG Traces.
Relevant For

This exciting and hugely popular one-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.

Content

This course aims to provide evidence-based training on CTG interpretation based on fetal physiology and pathophysiology of intrapartum hypoxic injury so as to reduce hypoxic ischaemic encephalopathy whilst reducing unnecessary operative interventions.

  • Principles of Intermittent Auscultation to ensure effective monitoring of low risk pregnancies.
  • Pathophysiology of CTG to help understand physiology behind observed ‘CTG Patterns’.
  • NICE Guidelines – its ‘rational application’ in clinical practice.
  • Use of CTG with special clinical situations such as previous caesarean sections, meconium and oxytocin.
  • Risk management strategies to reduce hypoxic injuries in labour ward.
  • Interactive Case Reviews: to help delegates use the knowledge of physiology in CTG Interpretation and to determine fetal response to hypoxic stress.
  • Avoiding medico-legal pitfalls by greater understanding of the types of hypoxia.
  • Understanding the technology behind CTG Machines.
  • Understanding acid–base balance and the role of additional tests of fetal wellbeing to reduce the false positive rate of CTG.
  • Principles of ST-Analyser (STAN) to understand how fetal ECG may help improve outcomes.
  • CTG pre and post-course tests to help demonstrate change in knowledge by the CTG Masterclass (i.e. outcome).
  • Dr Susana Pereira
    Course Director
    CTG Masterclass
  • Mr Edwin Chandraharan
    Course Director
    CTG Masterclass