NHS Resolution: Case story. Good practice management of the antenatal cardiotocograph

Summary

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.

Content

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.