Fetal Monitoring in Practice, 5th Edition

• Fully updated by internationally renowned editors
• Illustrations and case histories make content applicable to practice
• Clear and friendly writing demystifies a potentially challenging subject area
• Explains the correct use of terminology to help ensure safe and accurate communication
• Covers the basics of interpretation, common pitfalls associated with equipment usage, and clinical trial data in context
• Explains the underlying pathophysiology associated with abnormal changes seen on the CTG
• Clinical scenarios demonstrate common presentations such as breech birth, twin pregnancies, brow presentation, hypertension, and eclampsia
• Real CTG traces demonstrate more complex presentations such as prolonged deceleration, placental abruption, and fetal bleeding

1 Introduction 

2 Clinical assessment and recording 

3 Auscultation of the fetal heart rate 

4 Electronic fetal monitoring – terminology and interpretation 

5 Pathophysiology of fetal heart rate (FHR) 

6 NICE and FIGO guidelines for interpretation of FHR patterns 

7 Antepartum fetal surveillance 

8 The admission test by cardiotocography or by auscultation 

9 Assessment of uterine contractions 

10 Oxytocin and fetal heart rate changes 

11 Meconium, infection, anaemia, bleeding 

12 Cardiotocographic interpretation: additional clinical scenarios 

13 Cardiotocographic interpretation: more difficult problems 

14 Fetal scalp blood sampling pH and lactate 

15 Fetal ECG waveform analysis 

16 Medico legal issues with CTG and current strategies to reduce litigation 

17 Competency testing in CTG interpretation prior to practice 

New Chapter: Machine Learning 

New Chapter: Fetal Monitoring in the Future