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Pathological CTG OSCE

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

  1. MrsC

    MrsC Active Member

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    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
     
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  2. midwiferymatters

    midwiferymatters Well-Known Member

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    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
     
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  3. jellygem

    jellygem Member

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    dont forget to inform your snr mw
     
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  4. iolaus

    iolaus RM and Head of Clinical Practice
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    also jump call if the obstetrician on the ward doesn't pay attention
     
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  5. Lil Miss Sunshine

    Lil Miss Sunshine Well-Known Member

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    what does jump call mean please?
     
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  6. Roo

    Roo Well-Known Member

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    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.
     
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  7. iolaus

    iolaus RM and Head of Clinical Practice
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    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'
     
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  8. MrsC

    MrsC Active Member

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    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!
     
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  9. jellygem

    jellygem Member

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    well done!
     
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