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Fetal Monitoring Day 1 April 2022

In April 2022 we held a Fetal Monitoring Training Day. This hugely successful event was attended by midwives and obstetricians who heard from:

  • Professor Philip Steer, Emeritus Professor of Obstetrics and Gynaecology. Professor Steer presented the RCOG/RCM Avoiding Brain injury in Childbirth (ABC) Initiative to improve intrapartum care.
  • Mr. Duncan Irons, Consultant Obstetrician who discussed with the attendees the Medico-Legal implications of fetal monitoring. Mr. Irons shared some of his knowledge and experience from his time as an expert witness.
  • Dr Yorke and Julie McKay, fetal monitoring midwife, who addressed the topic ‘Why we need fetal monitoring leads’. Julie discussed the work she has been doing at UHND to involve staff in discussion of CTG and how the group offers peer support and sharing of knowledge and learning.
  • Mr. Kim Hinshaw, Consultant Obstetrician and Gynaecologist presented Improving interpretation of intrapartum fetal heart rate patterns. The presentation explored a systematic approach to interpreting the intrapartum CTG, NICE guidance, Physiological interpretation of intrapartum fetal wellbeing, the RCOG initiative and Baby Lifeline training.
  • Dr Lesley Walker, Consultant Obstetrician and Gynaecologist presented Computerised Antenatal CTG guidance which she developed in collaboration with Dr Vedrana Caric, Consultant in Obstetrics and Fetal Medicine. The guidance includes the interpretation and management of the cCTG and has since been ratified and is in operation.

Following a lunch break there was an opportunity for breakout groups. The topic of conversation was fetal monitoring in the North East and North Cumbria LMNS – where do we go from here? Groups were given subject headings of antepartum, intrapartum and training.  Conversation flowed freely and generated lots of ideas and suggestions for moving forward including the North East and North Cumbria LMNS and NIHR ARC (Applied Research Collaboration) Evaluation of a new Fetal Wellbeing Tool in cases of Hypoxic Ischaemic Encephalopathy (HIE).

Dr Yorke closed the day with the suggestion of repeating the training on an annual basis.

The following are presentations made on the day:

2022_04_01 – Improving interpretation of intrapartum surveillance

20220420 DWP AtW letter