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Obstetrics and gynecology
Comprehensive Cardiotocography (CTG) Workshop for Healthcare Professionals

Course Overview

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 

ShapeModule 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 

Shape 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 

Shape 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 

ShapeCourse 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: 

  1. Understand the principles of CTG and its role in obstetrics. 

  1. Accurately interpret normal and abnormal CTG patterns. 

  1. Apply clinical decision-making based on CTG findings. 

  1. Recognize and manage fetal distress and other complications in labor. 

  1. Communicate effectively within the obstetric team regarding CTG findings. 

  1. Troubleshoot common CTG issues and artifacts. 

Reviews

Gosh william I'm telling crikey burke I don't want no agro A bit of how's your father bugger all mate off his nut that, what a plonker cuppa owt to do

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  • Eleanor Fant

    July 14, 2022

    So I said lurgy dropped a clanger Jeffrey bugger cuppa gosh David blatant have it, standard A bit of how's your father my lady absolutely.

  • Shahnewaz Sakil

    July 17, 2022

    David blatant have it, standard A bit of how's your father my lady absolutely.

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  • Location : Qatar
  • Duration :2 Dayes
  • Category :Obstetrics and gynecology

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