Poor
standards and training of fetal monitoring during
labour are a major cause of avoidable perinatal deaths.
The issue has been highlighted repeatedly by reports
of the Confidential Enquiry into Stillbirths and
Deaths in Infancy (CESDI). Many
obstetricians and midwives state they have commenced
working on labour wards without formal CTG training.
To
address these problems, we
are making our CTG Tutor available as a free download.
This is computer aided learning (CAL) software
designed for obstetricians, midwives and students,
and teaches the interpretation of the intrapartum
CTG. The
software includes a description of the basic CTG
features, details of 10 clinical cases and interactive
question and feedback on management options. It
uses published guidelines and recommendations (FIGO,
RCOG) and has been peer reviewed. The program concentrates
on common clinical scenarios and applies the principle
that the intrapartum CTG is a screening tool, with
a clear and well defined role which makes its interpretation
straighforward. The software was written in Authorware (1997),
with the help of the Nottingham University CAL
group.
Download
the CTG Tutor
Disclaimer: This package should be applied in
the context of local and national guidelines. The authors cannot accept
responsability for any clinical diagnoses or decisions made on the basis of this
software.