Fetal Monitoring in Practice (5th Ed.)

Coordinators: Gibb Donald, Arulkumaran Sabaratnam

Language: English
Cover of the book Fetal Monitoring in Practice

Subject for Fetal Monitoring in Practice

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· Paperback

The latest edition of this popular book is essential reading for all midwives and doctors working in the labour ward.

It has been fully updated but retains the essential features that have contributed to its popularity - an accessible writing style, easy-to-understand explanation of CTGs, and case studies and illustrations to make the content as accessible and practical as possible.

Fetal monitoring is a challenging area that requires skill and experience to practise well. This volume explores the subject matter in a detailed but straightforward manner, thus becoming an invaluable resource for health practitioners as well as midwifery and medical students.

  • 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 

Sir Sabaratnam Arulkumaran, PhD, DSc, FRCOG, FRCS, FACOG, Emeritus Professor of Obstetrics and Gynaecology (O&G) of St. George's University, London; Foundation Professor of O&G, University of Nicosia, Visiting Professor, Institute of Global Health Innovation, Imperial College, London; Past President of the Royal College of Obstetricians and Gynaecologists (2007-2010); President: International Federation of Obstetrics & Gynaecology (FIGO) 2012-2015; Head, Dept. of Obstetrics & Gynaecology, St George's University Hospital, London, UK (1997-2013). National award recipient of Knight Bachelor in the UK and Sri Lanka Ranjana in Sri Lanka for services to Medicine.