This workshop provides in-depth training on Cardiotocography (CTG), a key technique for monitoring fetal well-being during labor. Participants will gain practical skills and theoretical knowledge to interpret CTG readings and manage related obstetric situations effectively. The course will cover the fundamentals, clinical applications, interpretation, and troubleshooting of CTG.
Target Audience:
Obstetricians
Midwives
Nurses
Fetal Medicine Specialists
Residents and Fellows in Obstetrics and Gynecology
Neonatologists
Perinatologists
Sonographers and Technicians
This comprehensive workshop will equip healthcare professionals with the necessary skills to interpret CTG effectively, make informed clinical decisions, and enhance fetal well-being during labor
Module 1: Introduction to Cardiotocography (CTG)
What is CTG?
Definition and purpose of Cardiotocography
Historical background and evolution of CTG in obstetrics
Role of CTG in modern obstetrics and perinatal medicine
Components of CTG
Fetal heart rate (FHR)
Uterine contractions
Baseline rate, variability, accelerations, and decelerations
Module 2: Basic Principles of CTG
Fetal Heart Rate (FHR) Monitoring
Normal fetal heart rate and its variations
Factors affecting FHR (maternal health, fetal positioning, etc.)
Significance of FHR in assessing fetal well-being
Uterine Contraction Monitoring
Frequency, intensity, and duration of contractions
Role of uterine contractions in labor progress
Interpretation of the CTG Curve
Identifying normal and abnormal patterns
Criteria for baseline FHR, variability, and decelerations
Artifacts and Common Mistakes
Common causes of poor CTG signal and solutions
Module 3: Clinical Applications of CTG
Antepartum Monitoring
Use of CTG in high-risk pregnancies (e.g., pre-eclampsia, IUGR, gestational diabetes)
Non-Stress Test (NST) and its application
Intrapartum Monitoring
Continuous CTG during labor and delivery
Use of CTG in assessing fetal distress during labor
Monitoring of uterine contractions and fetal well-being during labor
CTG in the Postpartum Period
Use of CTG to assess fetal recovery and any complications after delivery
Module 4: Interpretation of CTG Tracings
Normal CTG Patterns
Definition and recognition of normal baseline fetal heart rate, variability, accelerations, and decelerations
Abnormal CTG Patterns
Types of abnormal fetal heart rate patterns (e.g., variable decelerations, late decelerations, fetal bradycardia)
Identifying and diagnosing fetal distress using CTG
Case Scenarios and Practical Application
Hands-on interpretation of various CTG tracings
Case studies of normal vs abnormal CTG monitoring
Recognizing the need for clinical intervention based on CTG findings
Module 5: Management of Abnormal CTG
When to Intervene
Management strategies for different abnormal CTG patterns
Clinical actions and decision-making based on CTG findings
The role of fetal scalp blood sampling and other diagnostic tools
Appropriate Use of Interventions
Deciding on delivery methods (e.g., cesarean section, assisted delivery)
Role of pharmacological interventions (e.g., tocolytics)
Communication and Documentation
How to effectively communicate CTG results with the obstetric team
Proper documentation and legal aspects related to CTG findings
Module 6: Hands-On Practical Sessions
Interpreting CTG Strips
Participants will practice interpreting CTG strips using real case scenarios
Focus on normal and pathological CTG patterns
Group discussions and feedback on interpretations
Simulated Intrapartum CTG Monitoring
Practical demonstration of monitoring FHR and uterine contractions
Participants will have the opportunity to interpret and act on CTG readings in a simulated clinical environment
Advanced Monitoring Techniques
Use of fetal scalp electrodes and intrauterine pressure catheters
Understanding and interpreting additional data for high-risk cases
Module 7: Troubleshooting and Quality Assurance
Troubleshooting Common CTG Issues
Techniques for improving signal quality
Identifying and managing CTG artifacts
Handling situations where CTG is inconclusive or unreliable
Quality Assurance in CTG
Best practices for CTG equipment maintenance and calibration
Ensuring accurate monitoring in high-risk situations
Ensuring that CTG use aligns with clinical guidelines
Module 8: Review and Case Discussions
Interactive Case Study Discussions
Reviewing challenging cases where CTG interpretation made a difference
Discussing the decisions made based on CTG patterns and patient outcomes
Peer Discussions
Group sharing of experiences and questions related to CTG interpretation
Learning from each other’s clinical practices and perspectives
Module 9: Ethical and Legal Considerations in CTG
Legal Implications of CTG Monitoring
Documentation and accountability
Recognizing the role of CTG in patient safety and medico-legal outcomes
Ethical Decision-Making
Balancing clinical judgment with patient autonomy and informed consent
Discussing the ethical dilemmas related to CTG interpretations and interventions
Course Conclusion:
Q&A and Open Discussion
Clarifying doubts and questions regarding CTG practice and interpretation
Final Assessment
A comprehensive quiz/test on CTG knowledge and skills
Certification of Completion
Participants will receive a certificate after completing the workshop
Learning Outcomes:
By the end of this workshop, participants will be able to:
Understand the principles of CTG and its role in obstetrics.
Accurately interpret normal and abnormal CTG patterns.
Apply clinical decision-making based on CTG findings.
Recognize and manage fetal distress and other complications in labor.
Communicate effectively within the obstetric team regarding CTG findings.
Troubleshoot common CTG issues and artifacts.
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2 Comments
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