Abstract
Cardiotocography (CTG) monitors fetal well-being, by continuously recording the fetal heart rate (FHR) as well as maternal uterine contractions. The FHR is recorded by using either an ultrasound transducer or a fetal scalp electrode whereas uterine contractions are measured by a pressure transducer placed on the mother’s abdomen. It is imperative that obstetric anesthetists have a good grasp on the fundamentals of CTG. This will enable better communication with their obstetric colleagues, who often base the decisions for urgent delivery of the fetus on CTG changes.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
National Institute of Health and Care Excellence. Intrapartum Care for healthy women and babies. Clinical Guideline [CG190. London]: NICE; 2017.
ACOG Practice Bulletin No. 106: Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2009;114(1):192–202.
Executive summary: Neonatal encephalopathy and neurologic outcome, second edition. Report of the American College of Obstetricians and Gynecologists’ Task Force on Neonatal Encephalopathy. Obstet Gynecol. 2014;123:896–901.
Clark SL, Meyers JA, Frye DK, et al. Recognition and response to electronic fetal heart rate patterns: impact on newborn outcomes and primary cesarean delivery rate in women undergoing induction of labor. Am J Obstet Gynecol. 2015;212:494.e1–6.
Thurlow JA, Kinsella SM. Intrauterine resuscitation: active management of fetal distress. Int J Obstet Anesth. 2002;11:105–16.
East CE, Leader LR, Sheehan P, et al. Intrapartum fetal scalp lactate sampling for fetal assessment in the presence of a non-reassuring fetal heart rate trace. Cochrane Database Syst Rev. 2015;CD006174.
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;121:1056–60.
Bhide A, Chandraharan E, Acharya G. Fetal monitoring in labor: Implications of evidence generated by new systematic review. Acta Obstet Gynecol Scand. 2016;95:5–8.
Jacquemyn Y, Kwee A. Antenatal and intrapartum fetal evaluation. In: Clark V, Van de Velde M, Fernando R, editors. Oxford Textbook of Obstetric Onaesthesia. Oxford University Press; 2016.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Athar, M.W., Naz, A., Khatoon, F. (2022). Cardiotocography (CTG). In: Fernando, R., Sultan, P., Phillips, S. (eds) Quick Hits in Obstetric Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-72487-0_28
Download citation
DOI: https://doi.org/10.1007/978-3-030-72487-0_28
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-72486-3
Online ISBN: 978-3-030-72487-0
eBook Packages: MedicineMedicine (R0)