How do you perform a CTG monitoring?

Another method, called a ‘cardiotocograph’ (CTG), provides a continuous recording of the baby’s heartbeat and your contractions. Two round discs containing sensors will be placed on your tummy and held on by a soft belt. This method continuously records your baby’s heartbeat and your contractions on a paper printout.

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To perform CTG (cardiac fetal monitoring) monitoring, you need to perform the following steps: Prepare your equipment: Make sure you have a Hwatime fetal monitor,  which includes a fertility meter (to measure uterine contractions) and a transducer or Doppler probe (to monitor fetal heart rate). Make sure the equipment is in good working order and properly calibrated. Prepare the mother: Ask the mother to empty her bladder before the procedure, as a full bladder can cause discomfort. Also, make sure the mother is in a comfortable position, usually on her back or on her left side with a slightly elevated headrest. Using the fertility meter: The fertility meter is placed on the mother’s abdomen just above the fundus of the uterus, the area where the contractions are most felt. Use elastic or adhesive pads to secure it but not too tight. Make sure the fertility meter is placed correctly to accurately capture uterine contractions. Attaching a transducer or Doppler probe: A transducer or Doppler probe is placed on the mother’s abdomen, usually in the area where the fetal heart rate is most easily heard. Use a coupling medium such as conductive gel or water to ensure proper contact with the skin. Secure it in place with elastic or adhesive pads. Startup Monitoring: Turn on the CTG machine and adjust settings according to manufacturer’s guidelines or desired parameters. Make sure that both the fertility meter and transducer/Doppler probe are detecting and recording signals correctly. Observe and Interpret Results: Monitor CTG for at least 20 minutes or as directed by your healthcare provider.

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Note the maternal contractions on the tocometer and the fetal heart rate on the CTG monitor. Look for normal changes in the fetal heart rate, such as acceleration and deceleration, and any unusual patterns or signs of distress. Document Results: Document CTG monitoring results, including duration and intensity of uterine contractions, baseline fetal heart rate, and any observations or abnormal patterns noted during monitoring. This document is critical for healthcare professionals to assess the health of the mother and fetus. Follow-up: Share CTG monitoring results with healthcare provider responsible for mother’s care. They will analyze the results and, based on the information gathered, determine if further action or intervention is required. It is important to remember that CTG monitoring procedures should be performed by appropriately trained healthcare professionals experienced in accurately interpreting the results.


Post time: Jul-10-2023