Physiological CTG Interpretation

Our team is proud to present the first fetal monitoring guideline that solely relies on physiology-based interpretation for the assessment of fetal wellbeing. This guideline has been developed by the editorial board based on the experience gained from maternity units where a reduction in the emergency caesarean section rate and/or an improvement in perinatal outcomes was demonstrated after the implementation of physiology-based fetal monitoring.

We would like to take this opportunity to express our gratitude to the fetal wellbeing team and all the maternity staff at St George's Hospital, Lewisham and Greenwich NHS Trust and Kingston Hospital. This guidance is built upon the foundation laid by their collective experiences, contributions and hard work.

We would also like to thank the international consensus panel of expert reviewers from 14 countries, who have embraced a physiological approach to CTG interpretation in their daily clinical practice. We are honoured to have Prof Sir Arulkumaran as a special invited expert reviewer of the physiology-based guideline on CTG interpretation. The editorial board would like to take this opportunity to acknowledge his immense contribution to intrapartum fetal monitoring, and especially, for disseminating the knowledge on fetal physiological response to intrapartum hypoxic stress through several of his publications.

It has been brought to our attention that the CTG assessment tool was originally published missing one of the key features of assessment "The inter-contraction interval". This has now been corrected. The team would like to apologise for this error.

Starting from March 2018, this guideline will form the basis of all CTG discussions and Assessment tools presented by the Physiological-CTG project.