Abstract
Handing me a set of notes the shift leader said, ‘Have a look at this. This is one of your team midwives and here is what she recorded for the night shift on the delivery suite’. She added, ‘And the woman she was looking after was in normal labour’. I glanced through 10 pages of A4 notes — a tad excessive I thought. On closer inspection, eight of those pages were comments on an essentially normal cardiotocograph (CTG) — describing the character of the trace at 30 minute intervals in some detail. What crossed my mind apart from the sadness that the midwife seemed so intimidated by a risk management ethos, was what else had happened during this labour and birth? I could tell from the notes that her cervix had dilated and the baby had descended, that her contractions were moderate with a frequency of 3:10, that she had used entonox and been given 100 mg of pethidine, that her blood pressure stayed around 125/75 mmHg and her pulse 74 beats per minute. A female infant was born at 5.30 am in good condition…
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