Case Story: Antenatal Cardiotocograph (CTG) Interpretation

Case study resource

This case story is illustrative, based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff. As you read about this incident, please ask yourself:

·       Could this happen in my organisation?

·       Who could I share this with?

·       What can we learn from this?

Key learning points:

·      Accurate diagnosis of labour allows appropriate interpretation of CTGs and more effective detection of fetal distress

·      Antenatal CTGs should not be interpreted using intrapartum guidelines, as this may delay delivery of compromised fetuses leading to poorer outcomes

·      When interpreting fetal monitoring, utilise a holistic approach and particularly consider the maternal risk factors

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