This case story is based on real events; NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff.
Key learning points
- An abnormal antenatal cardiotocograph (CTG) may represent chronic fetal hypoxia.
- Consideration should be given to the use of an antenatal CTG classification system (see example CTG sticker) and/or computerised cCTG.
- Intrapartum CTG classification may not be appropriate in women who are not in established labour.
- Where there are CTG concerns and fetal well-being cannot be further assessed, obtain senior review and consider expediting the birth.
- Clear communication with the woman giving birth, birth partner(s) and maternity team is an essential part of good clinical care.
NHS Resolution: Case story. Good practice management of the antenatal cardiotocograph https://resolution.nhs.uk/wp-content/uploads/2019/09/20190916-Good-practice-management-of-the-antenatal-CTG-v2.pdf
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