CTG Made Easy E-Book , 4th Edition

Description

This title is now available under ISBN 9780702052149.

CTG Made Easy 4^th edition continues the successful format of previous editions, offering a practical guide to all health professionals involved in monitoring the fetal heart rate during labour, and specifically in the interpretation of CTG traces. The workbook approach remains, with many new and updated case histories and CTGs, all using current terminology and a recommended proforma for interpretation.

The book will aid health professionals to acquire competence and confidence in all aspects of fetal heart rate monitoring during labour, improving the care offered to women and babies.

Key Features

• In-depth debate on choice of intermittent or continuous electronic fetal heart rate monitoring enables correct identification of the appropriate method
• Updated references and recommendations from latest national guidelines ensure readers have access to current research-based evidence and expert opinion
• Clear explanation of the physiology of baseline and periodic abnormalities provides vital information for interpretation and assessment of fetal compromise
• CTG features are described following up-to-date recommendations from NICE
• Charts describe the classification of CTGs and illustrations describe variable decelerations to aid understanding
• Discussion of current adjuncts to electronic fetal heart rate monitoring give the reader insight into current developments and possible future practice
• RCOG and NICE proforma and classifications aid consistency in interpretation and use of terminology
• Recent cases of litigation are used to demonstrate the difficulties encountered with monitoring techniques and interpretation of the data, giving the reader an insight into cases that proceed to litigation

New to this Edition

• Evidence relating to fetal monitoring in labour updated to current national guidance
• Expanded section debating the issues surrounding intermittent auscultation versus continuous electronic fetal heart rate monitoring
• Expanded section on the physiological control of the fetal heart rate, fetal blood sampling and acid base balance.

• Risk management updated, including risks and benefits of current methods of fetal heart rate monitoring, future developments, and legal issues

• References comprehensively reviewed, including NICE and RCOG clinical guidelines

New online resources

20 additional CTGs and case histories are available online

Readership

Midwives - student and qualified; junior doctors

Table of Contents

Part 1 Assessing fetal well being in labour

Introduction

Intermittent auscultation

Continuous electronic fetal heart rate monitoring

Adjuncts to CEFM for fetal surveillance

Conclusion

References

Part 2 Interpretation of the CTG

Control of the fetal heart rate

Interpretation of the CTG

Features of the cardiotocograph (CTG)

Basic patterns

Periodic changes

Interpretation of the data

Management of a suspicious CTG

Management of a pathological CTG

References

Part 3 Litigation and the CTG

Andrew Symon

Introduction

Background to CTG litigation

The CTG in litigation

Conclusion

References

Part 4 Case Studies

Contents

Section 1 Normal

Section 2 Bradycardia

Section 3 Tachycardia

Section 4 Reduced variability

Section 5 Early decelerations

Section 6 Late decelerations

Section 7: Variable decelerations

Section 8: Prolonged decelerations

Section 9: Complex

Section 10: Miscellaneous

Part 5 Good practice guide

Introduction

Developing guidelines

Audit

Communication

Training and development

Supervisors of midwives

Practical guides

Risk assessment chart

Web addresses

References

Index

Author Information

By Susan Gauge, SRN, SCM, ONC, ADM, Clinical Education Facilitator, Birmingham Women's Healthcare NHS Trust, Birmingham, UK