The Pathophysiology of CTGs and Types of Intrapartum Hypoxia

ISSN: 1875-6581 (Online)
ISSN: 1573-4048 (Print)


Volume 10, 2 Issues, 2014


Download PDF Flyer




Current Women's Health Reviews

Aims & ScopeAbstracted/Indexed in


Submit Abstracts Online Submit Manuscripts Online

Editor-in-Chief:
John Yeh
Harvard Medical School
Department of Obstetrics and Gynecology
Massachusetts General Hospital
Boston, MA
USA


View Full Editorial Board

Subscribe Purchase Articles Order Reprints


The Pathophysiology of CTGs and Types of Intrapartum Hypoxia

Author(s): Sian McDonnell and Edwin Chandraharan

Affiliation: Consultant Obstetrician and Gynaecologist, St. George’s Healthcare NHS Trust, Blackshaw Road, London SW 17 0RE, UK.

Abstract

The introduction of intrapartum fetal monitoring has failed to achieve one of its major goals - to reduce perinatal morbidity and mortality secondary to intrapartum hypoxic events. Despite this, it remains at common place in labour wards around the world. Although there is now a much greater understanding of fetal physiology and the fetus’ normal adaptation in labour, there continues to be around 500 intrapartum stillbirths in the UK each year, many with avoidable factors that are related to cardiotocograph (CTG) misinterpretation. This review article aims to consider the mechanisms for the control of the fetal heart rate as well as features of a normal CTG. It also discusses the physiology behind abnormal fetal heart rate patterns in labour and by explaining these changes in terms of physiological mechanisms, it is hoped that readers will better understand how the fetus adapts in labour and hence guide appropriately timed intervention rather than intervention based purely upon pattern recognition.

Keywords: Birth asphyxia, cardiotocograph, decelerations, fetal monitoring, hypoxia, labour, physiology.

Purchase Online Order Reprints Order Eprints Rights and Permissions

  
  



Article Details

Volume: 9
Issue Number: 3
First Page: 158
Last Page: 168
Page Count: 11
DOI: 10.2174/157340480903140131111654
Advertisement

Related Journals

Webmaster Contact: urooj@benthamscience.org Copyright © 2014 Bentham Science