| View previous topic :: View next topic |
| Author |
Message |
Hopeful
Joined: 03 May 2007
Posts: 54
|
 Posted: Mon Apr 28, 2008 2:34 pm Post subject: New CTG guidelines |
 |
|
| Is this the part of intrapartum guidelines? |
|
| Back to top |
|
 |
Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
|
| Posted: Mon Apr 28, 2008 2:43 pm Post subject: |
|
|
Not sure what you mean but if you are asking 'is this the place to discuss the recent guidelines' then the answer is yes 
Click here for a direct link to the Guideline or here for the Full Guideline.
Page 45 (short version) or page 220 (full guideline) state the new / revised classification of FHR trace features which does have some subtle modifications including an early deceleration quite rightly taking its place as a 'normal' thing again!! Hurrah
Get discussing ......... 
Last edited by Nick Raine-Fenning on Tue Apr 29, 2008 9:43 am; edited 2 times in total |
|
| Back to top |
|
|
Hopeful
Joined: 03 May 2007
Posts: 54
|
| Posted: Mon Apr 28, 2008 6:50 pm Post subject: |
|
|
| I mean that i cant find any new guidelines on EFM, but many people give reference of new CTG guidelines. so i want to ask if the new guidelines are the ones which is some information in intrapartum care guidelines by NICE? |
|
| Back to top |
|
|
Hopeful
Joined: 03 May 2007
Posts: 54
|
| Posted: Tue Apr 29, 2008 11:35 am Post subject: |
|
|
| Thanku for clarification. |
|
| Back to top |
|
|
Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
|
| Posted: Wed Apr 30, 2008 5:39 pm Post subject: |
|
|
Yeah - they are in the Guideline
Subtle changes but important ones relating to early and variable decelerations.
What are they? (I can ensure you have read it that way ) |
|
| Back to top |
|
|
jilly
Joined: 16 Jan 2008
Posts: 15
|
| Posted: Thu May 01, 2008 7:20 pm Post subject: |
|
|
Typical variable decelerations are non-reassuring feature whereas atypical variable decelerations are classifed as abnormal if present for >30mins.
Definitions from NICE 'the use of electronic fetal monitoring' here
Variable decelerations = Variable, intermittent periodic slowing of FHR with rapid onset and recovery. Time relationships with contraction cycle are variable and they may occur in isolation. Sometimes they resemble other types of deceleration patterns in timing and shape
Atypical variable decelerations = Variable decelerations with any of the following additional components:i. loss of primary or secondary rise in baseline rate, ii. slow return to baseline FHR after the end of the contraction. iii. prolonged secondary rise in baseline rate, iv. biphasic deceleration, v. loss of variability during deceleration, vi. continuation of baseline rate at lower level.
There are some pictures of CTGs with typical and atypical variable decelerations in this paper |
|
| Back to top |
|
|
|
FAQ
Search
Memberlist
Usergroups
Register
Profile
Log in to check your private messages
Log in
