.This is workshop including power point presentations and training on CTG paper.Determine indication for fetal monitoring. Discuss fetal monitoring with the woman and obtain permission to commence.Perform abdominal examination to determine lie and presentation.Give the woman the opportunity to empty her bladder.The woman should be in an upright or lateral position (not supine).Check the accurate date and time has been set on theCTGmachine.
Maternal heart rate must be recorded on theCTGat commencement of theCTG in order to differentiate between maternal and fetal heart rate.CTG paper speed at 1cm/min
•Sensitivity displays at 20 beats per minute/cm
•Set FHR range display at 50 –210 bpm
•Ensure date and time are correct on commencement of CTG
•Check that date and time settings on CTG tracings are regularly validated
•Label CTGs with the mother’s name, date, time commenced and hospital record number
CTG RECOMMENDATIONS
In addition, medical expert consensus recommends:
•Midwives should not undertake continuous CTG monitoring in the absence of medical supervision
•On commencement of CTG monitoring, women should be advised, in general terms, how to read their tracing.
•Where central monitoring is in use, the woman should be able to recognise the significance of the alarm/light if it activates, so that staff can be summoned if they do not react to the alarm.
Consider
•Intrapartum /antepartum trace.
•Stage of labour
•Gestation
•Fetal presentation?Malpresentation.
•Any augmentation
•IOL Medications