Abstract
Myths at the core of Intrapartum Cardiotocography Interpretation – Risks of false Ideology, Prospect theory and way forward
Highlights
Intrapartum cardiotocography (CTG) is besieged by controversies and myths, but will remain widely practiced
This article critically examines some common myths about Fetal heart rate (FHR) decelerations which are at the very heart of CTG interpretation and debates how to resolve them
The most common FHR decelerations with ‘rapid’ descent are due to cord-compression and should be called “variable”
Summary
Intrapartum cardiotocography (CTG) is besieged by controversies and myths, but will remain widely practiced. The most common FHR decelerations with ‘rapid’ descent (majority with trough corresponding to the peak of contraction) are due to cord-compression and should be called “variable”. This myth seems to have arisen following experiments in sheep fetus to study fetal response to hypoxemia mimicked by artificial cord clamping which produced rapid FHR decelerations.
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