http://www.bellytales.com/2006/10/23/push-from-england-to-reduce-routine-efm-use/ The Diary of a New Midwife Tue, 02 Dec 2008 13:41:41 +0000 http://wordpress.org/?v=2.0.4 http://www.bellytales.com/2006/10/23/push-from-england-to-reduce-routine-efm-use/#comment-123964 Mon, 17 Mar 2008 16:49:51 +0000 http://www.bellytales.com/2006/10/23/push-from-england-to-reduce-routine-efm-use/#comment-123964 The discussion here is a bit odd, because continuous CTG in labour is not routine in most UK hospitals. The controversial bit is defining "high risk" labours, because CTG is used for those (unless the woman declines, and knows that she can decline). The other controversial bit is admission CTGs (20-30 minute trace on admission) which about half of hospitals still seem to do, despite recommendations that this practice stop from NICE (National Institute of Clinical Excellence) and RCOG (Royal College of Obstetricians and Gynaecologists). But it is rare in the UK to find an obstetrician who would be prepared to defend routine use of CTG throughout labour - they must have really dug that one up. The discussion here is a bit odd, because continuous CTG in labour is not routine in most UK hospitals. The controversial bit is defining “high risk” labours, because CTG is used for those (unless the woman declines, and knows that she can decline). The other controversial bit is admission CTGs (20-30 minute trace on admission) which about half of hospitals still seem to do, despite recommendations that this practice stop from NICE (National Institute of Clinical Excellence) and RCOG (Royal College of Obstetricians and Gynaecologists). But it is rare in the UK to find an obstetrician who would be prepared to defend routine use of CTG throughout labour - they must have really dug that one up.

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