Exploring the Evidence for Cardiotocography Monitoring

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It’s long been assumed that routine cardiotocography (CTG) monitoring of all women in labour helps reduce neonatal morbidity. Yet, evidence is growing that monitoring itself may be a potential source of harm, due to its association with high rates of unnecessary caesarean section.

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Questions are now being raised about the use of continuous monitoring in labour. Change often happens slowly in healthcare and whilst the weight of evidence still isn’t enough to move completely away from continuous monitoring, new initiatives are emerging.

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Meet the educator

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Anne Watkins
Anne is a freelance lecturer and medical writer at Mind Body Ink. She is a former midwife and nurse teacher with over 25 years’ experience working in the fields of healthcare, stress management and medical hypnosis. Her background includes working as a hospital midwife, Critical Care nurse, lecturer in Neonatal Intensive Care, and as a Clinical Nurse Specialist for a company making life support equipment. Anne has also studied many forms of complementary medicine and has extensive experience in the field of clinical hypnosis. She has a special interest in integrating complementary medicine into conventional healthcare settings and is currently an Associate Tutor, lecturing in Health Coaching and Medical Hypnosis at Exeter University in the UK. As a former Midwife, Anne has a natural passion for writing about fertility, pregnancy, birthing and baby care. Her recent publications include The Health Factor, Coach Yourself To Better Health and Positive Thinking For Kids. You can read more about her work at
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What do others think?

154 reviews by Ausmed Learners
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Ursula Wulff
03 Feb 2020
Love Sara Wickham.
ogechi Michaels
28 May 2020
This article provide me with new knowledge regarding equipment used for fetal monitoring and the risk involved .
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Linda Mosey
12 May 2021
Interesting article
Oleg Dronov
23 Aug 2020
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Klair Bayley
29 Jan 2022
Good overview
Caitlin Dugger
29 Jan 2020
Very good.
Michele willis
05 Feb 2020
Very good and appreciate the references at the end for further study/information
Karen Wade
20 Feb 2020
well written and thoroughly enjoyed the article
Amelia Thorne
24 Sep 2020
New evidence available re high risk women and CTG - may not improve outcomes (Small, Fenwick, Gamble et al, 2020)
Alison Ravn
29 Mar 2020
interesting data
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