CTG Workshop

This workshop is being conducted by the renowned Prof. Sabaratnam Arulkumaran from U.K. He will be enlightening us about the basic physiology of the foetal heart and the manner of the CTG changes during labour.

Learning Objectives:

One will learn about interpreting antenatal CTGs, tricky intrapartum CTGs. One will also learn to deal with abnormal CTG patterns and the significance and impact of these on foetal well-being.
The goal of this workshop is intended towards better understanding and interpretation of normal and abnormal FHR patterns in various clinical scenarios and its application in important decision-making situations.

Learning Methods:

The workshop will comprise of power point presentations with ample time for discussion under the following main topics:

1 Pathophysiology of CTG:
The purpose of FHR monitoring is the ongoing assessment of foetal oxygenation. A working knowledge of foetal physiology and the foetal response to hypoxia can aid and refine clinical interpretation of FHR patterns during labour.
2 Antepartum CTGs – when and where
The primary purpose of antenatal CTGs is to detect foetal hypoxia and acidosis, which are the common causes of foetal death, and to possibly avoid foetal death by initiating timely interventions.
3 CTG and Oxytotics / other medications
Changes in FHR patterns in relation to various pharmacological preparations used in labour, especially oxytotic will be discussed with emphasis on the management strategies to be followed on encountering abnormal patterns in FHR as a result of use of drugs.
4 Non reassuring or abnormal FHR pattern – when to deliver
With the use of electronic foetal monitoring in labour ,we often face a lot of dilemmas on encountering abnormal FHR patterns as to when to expedite delivery of the foetus and how long a time do we have to wait in order to deliver a healthy non-hypoxic foetus for a good outcome. This discussion will clear a lot of grey areas on when to deliver a foetus on encountering abnormal FHR patterns.
5 Difficult CTGs to interpret
CTGs are quite difficult to interpret especially in pre-term foetuses and in 2nd stage of labour. This discussion will enlighten us regarding interpretation of CTGs in these difficult situations, and to pick up the hypoxic foetus to expedite delivery and improve perinatal outcome.
6 Case discussions
Real life situations and case discussions on tricky CTGs and guidelines on management protocols on encountering abnormal FHR patterns will be discussed.