Christine Holliday, you have hit the nail on the head re centralised CTG.
Any women who is considered to be at such high risk as to need continuous
CTG ought to have a midwife at her side continuously. CMC (Continuous
Midwife Care) negates the need for centralised monitoring. Re the risk
management issues that Amanda referred to; risk management incorporates the
application of current best evidence. There is enough research that casts
doubt on the efficacy of continuous CTG even for women with a compromised or
potentially compromised pregnancy/labour. Certainly our legal colleagues are
a force to be reckoned with and , in spite of the evidence, we are stuck
with continuous CTG for our women with problems, potential or real,
intrapartum.. Andrew Symon, you may wish to comment.
Jenny Cameron MPH
Midwife Lecturer & Practitioner
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