Okay, just out of sheer curiousity and of course I'm nosey!! What is the criteria at your Trust for admission CTG's (monitoring), is this done on every woman who enters the labour ward ? in labour. Or is it only carried out when they are high risk? rupture of membranes (ROM) or Premature ROM? etc...

At my Trust we dont do admission CTG's only for the above, and then its obviously with maternal consent, and a basic 20/30 min trace (dependent on findings of course)

Oh and if you do them to every woman, have any of you ever asked why this is? I'd love to know the responses!!!!

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Blimey, let me think...!

Depends on the midwife, but most do not CTG unless they are high risk.

Obv inductions come in and have all usual obs and then thirty mins of CTG in preparation for the doctors rounds.

Generally most of the midwives follow the guidelines for intermittent auscaltation in labour if they have no concerns or problems (I am trying to get away from the term high-risk since our lecture yesterday)

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Our guidelines are to do admission CTGs for any woman that comes outside of the parameters of "normal", ie any who have had complications in pregnancy, previous LSCS, Meconium stained Liquor, SROM without labouring etc.

Or, if the midwife feels the need to, (which many still do, just for their re-assurance!)

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I thought it was for everyone in Year 1 as I didnt seen any differences between the women, but I soon learnt its down to different midwives and their confidence.... but yes Shoshana, same guideline in my Trust.

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mmm, to tell them what??? Terrible, poor women, my place (joint hospitals) has just spent nigh on £90,000 to buy a load more, we now have (at the richer hosp of the 2) the K2 package set up as well, so that the matron/shift coordinator can sit in the office and keep an eye on all the monitors (if they are on them of course!!)

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Pretty much same guidelines for us too though, but I'm not sure what will happen when we get our fancy (so called) unit built, we are having the wireless monitors then, they are apparantly waterproof too, so that our prev c/section/ high risk ladies can have pool births.

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Yes, indeed! CTGs are only good for the time that the woman is actually on the monitor. And then there is so much uncertainty about how to interpret them.

We did have central monitoring, but it kept going wrong. So, in the end it was decided that it was too costly to maintain and it's now been scrapped. We really don't miss it. There have just been a couple of occasions when I would have liked to have known someone was keeping an eye on my CTG, because delivery suite has been very busy, I've been caring for more than one woman and I can't be in 2 rooms at once.

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Yes I suppose that is the advantage to it, also I fear people may leave the rooms (its bad enough now) to go sit in the office watching all of them going off at once, whereas prior to it, a woman on a CTG would have a midwife with her at all times (as she so rightly should) but this doesn't seem to happen now, and I think once the package comes in at our place this may get far worse.

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A woman on a CTG not left alone?

Blimey, here it is used to babysit. Dad often given instructions to buzz if contact lost or the alarm goes off!

And I don't ness mean when it is busy either, sadly...

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How poor, no they are pretty good like that, apart from if a woman comes in for example following a fall, reduced movements, and the midwife has already had the first 10 min of a good trace, then they will be left alone, but otherwise no, but I see it more and more now as midwives scoot between rooms.

We also have a new matron who advised to put a woman on CTG if you cannot get in the room every 15 mins to auscultate!! (never mind, phone and get more staff, or help etc.. oh no put them on a CTG how bad is that??)

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