1. CTG

2. What is Cardiotocography?
• Cardiotocography (CTG)
• -used in pregnancy to monitor both the
foetal heart as well as the contractions of
the uterus
• purpose is to monitor foetal well-being &
allow early detection of foetal distress
• Abnormal CTG indicates the need for
more invasive investigations & ultimately
may lead to emergency caesarian section.

3. How to read a CTG?
• To interpret a CTG you need a
structured method of assessing it’s
various characteristics.
• DR C BRAVADO
•

4. • DR – Define Risk
• C – Contractions
• BRa – Baseline Rate
• V – Variability
• A – Accelerations
• D – Decelerations
O - Overall impression

5. Define Risk
• You first need to assess if this
pregnancy is high or low risk
• Maternal medical illness
• Gestational diabetes
Hypertension
Asthma

6. • Obstetric complications
• Multiple gestation
Post-date gestation
Previous cesarean section
Intrauterine growth restriction
Premature rupture of the membranes
Congenital malformations
Oxytocin induction/augmentation of labor
Pre-eclampsia

7. • Other risk factors
• No prenatal care
Smoking
• Drug abuse