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1 - ‘An Eye Opener’: Perils of CTG Misinterpretation

Lessons from Confidential Enquiries and Medico-legal Cases

Published online by Cambridge University Press:  25 March 2017

Edwin Chandraharan
Affiliation:
St George's University of London
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Summary

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Type
Chapter
Information
Handbook of CTG Interpretation
From Patterns to Physiology
, pp. 1 - 5
Publisher: Cambridge University Press
Print publication year: 2017

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References

Further Reading

Beard, RW, Filshie, GM, Knight, CA, Roberts, GM. The significance of the changes in the continuous fetal heart rate in the first stage of labour. J Obstet Gynaecol Br Commonw. 1971; 78: 865881.Google Scholar
Chauhan, SP, Klauser, CK, Woodring, TC, Sanderson, M, Magann, EF, Morrison, JC. Intrapartum nonreassuring fetal heart rate tracing and prediction of adverse outcomes: interobserver variability. Am J ObstetGynecol. 2008; 199: 623.e1623.e5.Google Scholar
Chandraharan, E. Fetal compromise: diagnosis and management. In: Obstetric and Intrapartum Emergencies: A Practical Guide to Management. Cambridge University Press, 2012.Google Scholar
Chandraharan, E, Lowe, V, Penna, L, Ugwumadu, A, Arulkumaran, S. Does ‘process based’ training in fetal monitoring improve knowledge of Cardiotocograph (CTG) among midwives and obstetricians? In: Book of Abstracts. Ninth RCOG International Scientific Meeting, Athens, 2011. www.rcog.org.uk/events/rcog-congresses/athens-2011Google Scholar
Ayres-de-Campos, D, Arteiro, D, Costa-Santos, C, Bernardes, J. Knowledge of adverse neonatal outcome alters clinicians’ interpretation of the intrapartum cardiotocograph. BJOG. 2011; 118(8): 978984.Google Scholar
Chandraharan, E. Fetal scalp blood sampling during labour: is it a useful diagnostic test or a historical test that no longer has a place in modern clinical obstetrics? BJOG. 2014; 121(9): 10561060.Google Scholar
Department of Health, UK. On the state of public health: annual report of the Chief Medical Officer 2006. Chapter 6. Intrapartum-Related Deaths: 500 Missed Opportunities. webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_076853.pdfGoogle Scholar
CESDI. Fourth Annual Report: Concentrating on Intrapartum Deaths 1994-95. London. Maternal and Child Health Research Consortium, 1997.Google Scholar
Ennis, M, Vincent, CA. Obstetric accidents: a review of 64 cases. BMJ. 1990; 300(6736): 13651367.CrossRefGoogle ScholarPubMed
Berglund, S, Grunewald, C, Pettersson, H, Cnattingius, S. Severe asphyxia due to delivery-related malpractice in Sweden 1990–2005. BJOG. 2008; 115(3): 316323.Google Scholar
Andreasen, S, Backe, B, Øian, P. Claims for compensation after alleged birth asphyxia: a nationwide study covering 15 years. Acta Obstet Gynecol Scand. 2014; 93(2): 152158.Google Scholar
Royal College of Obstetricans and Gynaecologists. Each baby Counts: key messages from 2015. London: RCOG2016.Google Scholar

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