Episode 48 Fetal Heart Monitoring Part 2

Why do we want to monitor the baby's heart beat in labour? what are the advantages or disadvantages of listening intermittently over continuous Cardiotocograph (CTG)?Monty Python Hospital sketch https://www.youtube.com/watch?v=arCITMfxvEc Evidence to consider:https://www.cochrane.org/CD006066/PREG_continuous-cardiotocography-ctg-form-electronic-fetal-monitoring-efm-fetal-assessment-during-labour overviewhttps://www.bmj.com/content/359/bmj.j5423/rr-5 overview https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.15535  computerised CTGImproving how we do it:https://www.rcog.org.uk/en/guidelines-research-services/audit-quality-improvement/each-baby-counts/implementation/improving-fetal-monitoring/https://www.england.nhs.uk/london/wp-content/uploads/sites/8/2020/03/IFM-Resource-FINAL-04.03.20.pdf Guidancehttps://www.nice.org.uk/guidance/cg190/resources/interpretation-of-cardiotocograph-traces-pdf-248732173 https://physiological-ctg.com/index.htmlYou can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod please check out #MatExp matexp.org.uk for ideas about how to improve maternity experience.    My beautiful artwork is thank to Anna Geyer www.newpossibilities.co.ukThank you all for listening,  My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running  without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to  support theobspod please head over to my buy me a coffee page  https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes, I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Instagram @TheObsPod and email me on [email protected] Please also check out #MatExp matexp.org.uk for ideas about how to improve maternity experience. My bea...