flashcards_dr_c_bravado
What does DR stand for in the DR C BRAVADO mnemonic?
Define Risk: Indications for doing the CTG.
What are some indications for doing the CTG?
Previous caesarean section, IUGR, epidural anaesthesia, pre-eclampsia, oligohydramnios, oxytocin, antepartum haemorrhage, preterm, maternal pyrexia, post-term pregnancy, multiple pregnancy, prolonged rupture of membranes, breech, significant maternal disease, meconium-stained liquor.
What does C stand for in the DR C BRAVADO mnemonic?
Contractions: Frequency, length, and regularity of electrical activity.
What are the normal, amber, and red ranges for the baseline rate in CTG?
Normal = 110-160 bpm, Amber = >20 bpm from last reading or 100-109 bpm or no baseline, Red = <100 bpm or >160 bpm.
What does V stand for in the DR C BRAVADO mnemonic?
Variability: Heart rate variability over a period of 5-10 mins.
What are accelerations in the context of CTG?
A rise from baseline heart rate of at least 15 bpm lasting at least 15 seconds.
What are decelerations in the context of CTG?
A fall from baseline heart rate of at least 15 bpm lasting at least 15 seconds.
What are the different types of decelerations?
Early decelerations, variable decelerations, late decelerations.
How should overall CTG features be categorized?
Reassuring, non-reassuring, or abnormal.
What are the categories for CTG based on the overall interpretation?
Normal, suspicious, pathological.
What is the management based on the interpretation of CTG trace for normal CTG?
Continue usual care.
What is the management based on the interpretation of CTG trace for suspicious CTG?
Involve senior midwife or obstetrician, conservative management.
What is the management based on the interpretation of CTG trace for pathological CTG?
Involve senior midwife and obstetrician, conservative management.
What should be done if there is acute bradycardia or a single prolonged deceleration for more than 3 minutes?
Start conservative measures, and if bradycardia persists beyond 9 minutes, expedite delivery.
