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Advanced CTG Masterclass – London – 9 & 10 July 2018

July 9, 2018 8:15 am
July 10, 2018 5:30 pm
DoubleTree by Hilton Hotel London - Docklands Riverside, 265 Rotherhithe St, London, SE16 5WH   View map



SKU: 224 Category:


Intrapartum Assessment of Fetus and Management of Fetus at Risk of Intrapartum Hypoxic Injury

Best practice in intrapartum management.

13 Hours CPD Relevant

£240 for two full days of training, including lunch, tea and coffee. Please note administration fee charges of £40 per booking will be made for any cancellations as we are a not for profit organisation and will have incurred costs.

Please click to view our FAQs and booking policies.

Relevant For : This highly acclaimed two-day CTG Masterclass course is beneficial for all midwives, obstetricians and clinical negligence lawyers who are involved in interpreting CTG traces. A basic knowledge of CTG interpretation would be beneficial, but not essential.

The NHSLA report ‘Ten Years of Maternity Claims’ has highlighted cardiotocograph (CTG) interpretation as a major source of litigation, with the main allegations focusing on the failure to recognise an abnormal CTG and act on it. Failure to refer appropriately and poor documentation were also commonly recognised in the report.

Aims of the Course

This course aims to enable midwives and obstetricians to be the champions of change in their local maternity units to bring about a paradigm shift in CTG interpretation based on fetal physiology so as to reduce unnecessary operative interventions whilst improving perinatal outcomes.

Course Content

The course is an extended version of our hugely popular one-day CTG Masterclass, and will look in more depth at the CTG monitoring practices. The course will be led by experts in the field including Mr. Edwin Chandaharan and his research team from St George’s Hospital, London.


  • Continuous CTG: Scientific Evidence & The Bitter Truths
  • Individualising Care: Considering the Wider Picture & Understanding the Pitfalls of our current “Guidelines”
  • Pathophysiology of CTG: Understanding Fetal Heart Rate Control & Physiology behind ‘CTG Patterns’
  • Unusual Fetal Heart Rate Patterns: Sinusoidal, Saltatory and Overshoots
  • Understanding Placental Oxygenation: The Fetal ‘Oxygen Cylinder’
  • Recognising Pre-Existing Injury: Chronic Hypoxia and Non-hypoxic Antenatal Insults
  • Recognising CTG Features of different types of Intrapartum Hypoxia & their management
  • Interactive Review of Cases


  • Re-cap: Understanding the types of intrapartum hypoxia in interpreting CTG
  • CTG Monitoring in High Risk Labour: Meconium, infection etc
  • Fetal Acid-Base Balance and the role of Fetal Blood Sampling
  • Can we determine Oxygenation of Central Organs? Role of fetal ECG
  • Principles of Intelligent (Intermittent) Auscultation & the Rational Use of Clinical Guidelines on CTG
  • Mechanism of fetal neurological injury in different types of hypoxia
  • Illustrative Cases: Interactive Discussion
  • Translation of learning into practice: From the Horse’s Mouth

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