Please Register

SMNET is an education based community supporting midwifery + nursing students and those thinking about a career in midwifery / nursing. If you are a student, applying to become a student or are considering midwifery or nursing as a career then you have come to the right place. Register for free now to receive support, access educational information and to participate in discussion and debate.

Login / Register
  1. This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies. Learn More.

Pathological CTG OSCE

Discussion in 'Clinical Skills & Assessments (Midwifery)' started by MrsC, Jun 6, 2011.

  1. MrsC

    MrsC Active Member

    Messages:
    364
    Likes Received:
    96
    Status:
    Not Specified
    We have our OSCES next month and I am trying to revise but not getting on so well! One of the possible scenarios is pathological CTG and althought we had a fantastic teaching session on CTG interpretation we didn't go over the actions required etc.

    Has anyone done pathological CTG as an OSCE that can shed some light for me?:?

    Thanks
  2. midwiferymatters

    midwiferymatters Active Member

    Messages:
    874
    Likes Received:
    238
    Status:
    Not Specified
    you would inform registrar for review of ctg, ?FSE ?cord prolapse- think about doing VE to cross this possibility out. or emergency buzzer- emergency section
  3. jellygem

    jellygem Member

    Messages:
    466
    Likes Received:
    1
    Status:
    Not Specified
    dont forget to inform your snr mw
  4. iolaus

    iolaus RM and Head of Clinical Practice Staff Member

    Messages:
    12,062
    Likes Received:
    3,087
    Status:
    Midwife
    also jump call if the obstetrician on the ward doesn't pay attention
  5. Lil Miss Sunshine

    Lil Miss Sunshine Well-Known Member

    Messages:
    6,663
    Likes Received:
    778
    Status:
    Not Specified
    what does jump call mean please?
  6. Roo

    Roo Well-Known Member

    Messages:
    2,344
    Likes Received:
    542
    Status:
    Not Specified
    Consider fetal blood sampling (by the obstetrician obviously)- then if they are normal and the pathological ctg continues for another half hour then repeat them again - in the meantime expedite the delivery. (obviously if she is at say 5cm with pathological ctg I'd probably consider lscs rather than wait.) if they are abnormal - straight to section.
  7. iolaus

    iolaus RM and Head of Clinical Practice Staff Member

    Messages:
    12,062
    Likes Received:
    3,087
    Status:
    Midwife
    jump call is ringing the consultant direct - it's basically saying 'I don't trust your registrar and he is endangering the woman and/or fetus'
  8. MrsC

    MrsC Active Member

    Messages:
    364
    Likes Received:
    96
    Status:
    Not Specified
    Thanks girlies, we have since had a revision session and I am a lot happier about what to do. We had Pathological CTG in our mock OSCE a couple of weeks ago and I managed to fluke an A+ so I am a bit more confident now!
  9. jellygem

    jellygem Member

    Messages:
    466
    Likes Received:
    1
    Status:
    Not Specified
    well done!

Share This Page