By Susan Gauge SRN SCM ONC ADM

ISBN-10: 0702043494

ISBN-13: 9780702043499

ISBN-10: 0702052140

ISBN-13: 9780702052149

This identify is now on hand less than ISBN 9780702052149.

CTG Made effortless 4th version maintains the profitable structure of earlier variants, delivering a pragmatic advisor to all healthiness pros curious about tracking the fetal center cost in the course of labour, and particularly within the interpretation of CTG lines. The workbook strategy continues to be, with many new and up-to-date case histories and CTGs, all utilizing present terminology and a advised proforma for interpretation.

The e-book will reduction wellbeing and fitness pros to obtain competence and self assurance in all facets of fetal center cost tracking in the course of labour, bettering the care provided to girls and babies.

    • In-depth debate on selection of intermittent or non-stop digital fetal center price tracking allows right id of the fitting approach
    • Updated references and suggestions from most modern nationwide instructions make sure readers have entry to present research-based proof and specialist opinion
    • Clear rationalization of the body structure of baseline and periodic abnormalities presents important details for interpretation and evaluate of fetal compromise
    • CTG gains are defined following updated innovations from NICE
    • Charts describe the type of CTGs and illustrations describe variable decelerations to assist realizing
    • Discussion of present adjuncts to digital fetal middle price tracking provide the reader perception into present advancements and attainable destiny perform
    • RCOG and great proforma and classifications reduction consistency in interpretation and use of terminology
      • Recent circumstances of litigation are used to illustrate the problems encountered with tracking concepts and interpretation of the information, giving the reader an perception into circumstances that continue to litigation

      New to this edition

      • Evidence in relation to fetal tracking in labour up-to-date to present nationwide guidance
      • Expanded part debating the problems surrounding intermittent auscultation as opposed to non-stop digital fetal center price monitoring
      • Expanded part at the physiological keep an eye on of the fetal middle expense, fetal blood sampling and acid base balance.
      • Risk administration up-to-date, together with hazards and advantages of present equipment of fetal middle cost tracking, destiny advancements, and criminal matters
      • References comprehensively reviewed, together with great and RCOG medical directions

      New on-line resources

      20 extra CTGs and case histories can be found on-line

      Show description

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      Extra info for CTG made easy

      Sample text

      The 2009 American College of Obstetricians and Gynecologists guidelines have seen the ‘reassuring/non-reassuring’ categorisation of traces replaced with ‘normal/intermediate/abnormal’, a move which Dickens and Cook (2010) believe is likely ’to reduce the risk of … over-reacting to FHR [fetal heart rate] traces, and precipitately urging and undertaking cesarean deliveries’. However, the limitations of EFM and the growing awareness that only a small minority of cases of cerebral palsy can be attributed to an intrapartum insult have not yet reduced the focus on CTG use during labour.

      2007). Intrapartum care. Care of healthy women and their babies during childbirth. Clinical guideline. London: RCOG. NHS Litigation Authority. (2009a). CNST maternity clinical risk management standards. London: NHSLA. NHS Litigation Authority. (2009b). Study of stillbirth claims. London: NHSLA. O’Connor, M C, Hassabo, M S, & McFadyen, R. (1980). Is the sinusoidal fetal heart rate pattern sinister? Journal of Obstetrics and Gynaecology, 1, 90–95. , & Berkus, M. (1994). Is fetal heart rate variability a good predictor of fetal outcome.

      In an Irish case (Fitzpatrick v National Maternity Hospital [2008]) the judge noted: The issue of negligence centred principally on the claim that the [staff] failed to properly interpret the cardiotocograph record … and failed to act correctly in the light of that record … I find on the evidence that by 07:12 hours it must have been very obvious to Senior Midwife Collins that a pattern of very deep decelerations with no baseline variability was established … Even faced with this emergency, Senior Midwife Collins still did not summon Dr.

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