CTG's have been proven to be very inaccurate, for
various reason such as interpretation etc. In fact 80% of all CTG's will
show some abnormality, which is staggering considering it is such a
widely spread and heavily relied on tool. Why is it used?, because in
most hospital's it is the best available. That is why some places are
moving from CTG alone towards biophysical profiles in birth suite which is far
more accurate. Often a suspicious CTG will be shown ok with BPP and the
women is left alone without further interference and vice vera.
Very sad......
----- Original Message -----
Sent: Saturday, May 27, 2006 5:38
PM
Subject: Re: [ozmidwifery] CTG &
stillbirth
CTG's can only reveal what is happening at
that moment and are subjective to interpretation. Often a CTG can look
positively awful, and yet after FBS the pH is fine - and how often have many
of us taken an emergency C/S to theatre because of a trace that was not
reassuring - to have a screaming, healthy baby emerge (thank goodness, as you
are on stand-by with resus). This is very sad Michelle, but you cannot say
this has happened because CTG's are unreliable. The CTG at 3pm was probably
reflecting accurately - and the poor midwife who was responsible for
performing that CTG will be feeling bad enough as it is.
Just my thoughts having been through a similar
situation..................
Sadie
----- Original Message -----
Sent: Saturday, May 27, 2006 5:15
PM
Subject: [ozmidwifery] CTG &
stillbirth
Recently where I work a primip come in at term plus 7 days in early
labour about 11pm. She had a CTG at 3pm which was reactive, good
variability etc. (they do routine CTG's on post-dates women).
The woman wasn't in established labour and the midwife suggested she
return home. The woman wasn't keen for this so stayed and the FHR was
auscultated every couple of hours and was normal, with the woman still not
in active labour. Apparently after change of shift the next midwife
couldn't find a FHR and USS confirmed the baby had died within the last
couple of hours. I wasn't caring for this woman so don't know all the
details but apparently she had an uneventful pregnancy although she had
presented three times during pregnancy with decreased movements and the
CTG's were always normal.
To me it just proves again the unreliability of CTG's. Just
interested in what others think.....
Cheers
Michelle
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