I think it shows one person's interpretation of
a CTG.......................
----- Original Message -----
Sent: Saturday, May 27, 2006 9:39
PM
Subject: Re: [ozmidwifery] CTG &
stillbirth
Hi Sadie,
I guess the thing is that alot of people believe that a normal CTG (not
in labour) is reassuring for fetal well being for the next 24 hours.
Obviously this wasn't the case for this baby.
You said about doing emergency C/S for unressuring trace only to have the
baby come out screaming.... don't you think this shows CTG's are
unreliable?
Cheers Michelle
Sadie
<[EMAIL PROTECTED]> wrote:
CTG's can only reveal what is happening at
that moment and are subjective to interpretation. Often a CTG can look
positively awful, and yet after FBS the pH is fine - and how often have many
of us taken an emergency C/S to theatre because of a trace that was not
reassuring - to have a screaming, healthy baby emerge (thank goodness, as
you are on stand-by with resus). This is very sad Michelle, but you cannot
say this has happened because CTG's are unreliable. The CTG at 3pm was
probably reflecting accurately - and the poor midwife who was responsible
for performing that CTG will be feeling bad enough as it is.
Just my thoughts having been through a
similar situation..................
Sadie
----- Original Message -----
Sent: Saturday, May 27, 2006 5:15
PM
Subject: [ozmidwifery] CTG &
stillbirth
Recently where I work a primip come in at term plus 7 days in early
labour about 11pm. She had a CTG at 3pm which was reactive, good
variability etc. (they do routine CTG's on post-dates women).
The woman wasn't in established labour and the midwife suggested she
return home. The woman wasn't keen for this so stayed and the FHR
was auscultated every couple of hours and was normal, with the woman still
not in active labour. Apparently after change of shift the next
midwife couldn't find a FHR and USS confirmed the baby had died within the
last couple of hours. I wasn't caring for this woman so don't know
all the details but apparently she had an uneventful pregnancy although
she had presented three times during pregnancy with decreased movements
and the CTG's were always normal.
To me it just proves again the unreliability of CTG's. Just
interested in what others think.....
Cheers
Michelle
The
LOST Ninja blog: Exclusive clues, clips and gossip.
|