Obs & Gynae

Intrapartum Foetal Monitoring (Toco-Cardio Graphy)

Cardiotocography (CTG) is a technical means of recording (-graphy) the fetal heartbeat (cardio-) and the uterine contractions (-toco-) during pregnancy, typically in the third trimester. The machine used to perform the monitoring is called a cardiotocograph, more commonly known as an electronic fetal monitor. CTG can be used to identify signs of fetal distress.



Procedure :

Elastic belts x2 are put around your Bump and the monitor is attached. The upper monitor is called the "Toco" - this monitors uterine activity - it does this by pressure. It will show on the graph that the monitor prints out - if the uterus is tightening, it will also show when you cough or sneeze as it works by pressure. You are given a handheld button to press if you feel baby move and this is recorded on the graph paper. The other monitor is placed where a good signal can be obtained of baby's heart- this works via ultra sound. It gives a reading on the graph paper which the printer on the machine prints out.



Why it is done ?

The CTG prints out the graph, this gives an indication of baby's well-being. It is interpreted by trained midwives and obstetricians- and is signed by two health professional every hour to say it has been assessed and looked at. It is not a perfect assessment tool of the baby's well-being. It is only an indication. High risk pregnancies & use of the CTG in labour:

  • Your baby is coming early or seems smaller than expected.
  • You have high blood pressure.
  • You have a high temperature
  • You pass fresh blood whilst in labour.
  • You are expecting twins.
  • The baby has opened its bowels (passed thick meconium) into the amniotic fluid.
  • The midwife thinks there may be a problem, having listened with a Pinard or Doppler machine.
  • You have an epidural for pain relief.
  • You have labour speeded up with Syntocinon