CTG Interpretation

Question 1

What is DR ?

Answer 1

Determine risk

E.g. preterm, mec stained liquor, IOL

Question 2

What is the acronym for reading CTG’s?

Answer 2

Dr C BRAVDO

Question 3

What is the ‘C’ in the acronym?

Answer 3

Contractions - how many within 10 minutes

Question 4

What is the ‘BRa’ in the acronym?

Answer 4

Baseline rate - between 110–160bpm

Question 5

What is the ‘V’ in the acronym?

Answer 5

Baseline variability - good indicator for a happy fetus, more than 5 beats above the normal baseline. (Normal considered between 5-25 beats)

Question 6

What is the ‘A’ in the acronym?

Answer 6

Accelerations: an abrupt increase in the fetal baseline greater than 15 beats for more than 15 seconds

Question 7

What is the ‘D’ in the acronym?

Answer 7

Decelerations: an abrupt decline in the fetal baseline of more than 15bpm for more than 15 seconds
Can be classified as early, variable or late decels

Question 8

What is the ‘O’ in the acronym?

Answer 8

Overall impression: is the CTG normal (reassuring), suspicious or pathological