Obs - CTGs + Partograms

Question 1

what are partograms?

Answer 1

a representation of mum and baby during labour (done hourly)

Question 2

how frequent should contractions be?

Answer 2

3-5 every 10 mins

Question 3

how much variability should there be on CTGs?

Answer 3

5-25bpm

Question 4

what can reduce variability?

Answer 4

sleeping
hypoxia
opiates
infection

Question 5

what are accelerations?

Answer 5

GOOD SIGN

rise of HR for 15bpm for 15 secs

Question 6

what are decelerations?

Answer 6

ABNORMAL

reduced HR for 15bpm for 15 secs

Question 7

how are decelerations defined?

Answer 7

in relation to contractions (early/late)

Question 8

what is classified as prolonged decelerations?

Answer 8

present for 3 mins (no HR recover)

Question 9

what are abnormal signs of decelerations?

Answer 9

reduced variability 
shallow
longer to recover
deep
broad
late

Question 10

what are the TWO bad things on a CTG that need urgent c section?

Answer 10

decelerations for more than 3 mins (no HR recover)

<100bpm for 10 mins

Question 11

if abnormal CTG, what can be done?

Answer 11

left lateral lie
fluids
stop oxytocin
tocolysis

Question 12

what is the acronym for reading CTGs?

Answer 12

DR define risk

B baseline rate
R 
A 
V variability 
A accelerations
D decelerations
O overall impression