Management of drugs and medications identified on the CTG

Question 1

CTG example of drugs and medications

Answer 1

Question 2

Clinical Picture

Answer 2

mother has been commenced on Magnesium sulphate for treatment of severe pre-eclampsia

pre CTG baseline 130 bpm and baseline variability was normal

Question 3

CTG Description

Answer 3

this CTG has a
- baseline FHR of 125 bpm
-no accelerations
- no decelerations
- No uterine activity is recorded

Question 4

Interpretation

Answer 4

• the presence of normal baseline variability prior
• a stable baseline rate
  an absence of deceleration
  suggests the fetus is well oxygenated

in the context of the clinical picture the absent variability and lack of accelerations are caused by the maternal medications

the fetus was noted to be moving on the palpation

Question 5

Management

Answer 5

Continue the CTG
although fetal wellbeing is assured at this time
the CTG is abnormal and requires escalation and continued close observation