Abstract
The contribution of human factors to errors and adverse outcomes within most healthcare systems cannot be underestimated. In Obstetrics we rely on the cardiotocograph as a non-invasive tool for detecting fetal hypoxia. However, since its introduction in 1960 the CTG has failed to reduce the rate of hypoxia-induced perinatal morbidity and mortality. The recent Each Baby Counts report indicates that 62% of stillbirths, neonatal deaths, and brain injuries of term babies in labour in 2015 were related to errors in CTG interpretation and management. This carries a significant financial burden as recent figures from the National Health Service Litigation Authority (NHSLA) show that Obstetrics makes up 50% of the total value of negligence claims in the UK.
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