Good morning!
In this episode, I discuss the "evidence" there is for monitoring the fetal heart rate in pregnancy and in labour and the outcomes of the recommendations we follow.
I cover:
- definitions and different ways of listening to the baby's heart rate
- the management and evidence for low risk women
- the management and evidence for "high" risk women
- I touch on the evidence of certain indications (meconium, VBAC, vaginal breech birth, preterm labour, oxytocin administration, reduced fetal movement)
- Where the research has been focused and what we should be better assessing in studies
- Who benefits from our management of fetal assessment
- Industrial betrayal
- Expansion in choosing different care and also providing evidence based care/ thorough informed choice
You can find me on instagram: @lyanne.pinto
This podcast is on spotify, on apple podcasts and youtube https://linktr.ee/lyannepinto1
Some references:
- Association of Ontario midwives: https://www.ontariomidwives.ca/esw
- SOGC: https://www.jogc.com/article/S1701-2163(23)00394-8/abstract
- MOREOB: https://sgsolutions.salusglobal.com/en_ca/
- Birth Small Talk blog by Kirsten Small PhD and MD: https://birthsmalltalk.com/blog/
- Dublin trial 1985: https://www.ajog.org/article/0002-9378(85)90619-2/abstract
- Jonsonn M et al. Acidemia at birth, related to obstetric characteristics and to oxytocin use, during the last two hours of labor. https://www.tandfonline.com/doi/abs/10.1080/00016340802220352- Andersen M et al. Can Intrapartum Cardiotocography Predict Uterine Rupture among Women with Prior Caesarean Delivery?: A Population Based Case-Control Study. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0146347
- Kirkwood S et al. Effects of Electronic Fetal-Heart-Rate Monitoring, as Compared with Periodic Auscultation, on the Neurologic Development of Premature Infants. https://www.nejm.org/doi/full/10.1056/NEJM199003013220904
- Mancuso A et al. Effects of antepartum electronic fetal monitoring on maternal emotional state. https://obgyn.onlinelibrary.wiley.com/doi/10.1080/00016340701823892
- Indications for CTG:
file:///Users/lyanne/Downloads/Indications-for-intrapartum-electronic-fetal-monitoring%20(1).pdf
- Small et al. Intrapartum cardiotocograph monitoring and perinatal outcomes for women at risk: Literature review. https://www.sciencedirect.com/science/article/abs/pii/S187151921930825X?via%3Dihub