RACGP QI&CPD

Electronic Fetal Monitoring (EFM)/CTG

This course has been allocated 6 category 2 points in the QI&CPD Program for the 2017-2019 Triennium for GPs.  

Aim

The aim of this course is to reduce adverse perinatal outcomes related to inappropriate or inadequate intrapartum fetal surveillance. In line with the RANZCOG 2014 recommendations, this course focuses on improving consistency and safety in practice through updating knowledge and skills by all Clinicians using and interpreting CTG’s, specifically:    

  • Fetal physiological responses to hypoxia
  • Good pattern recognition skills
  • The ability to integrate this knowledge with each clinical situation
 

Relevance to General Practice

Electronic Fetal Monitoring remains one of the highest areas of risk across the full spectrum of healthcare. There are wide variations in the interpretation of CTGs, even among experts and failure to act on signs of fetal compromise jeopardizes the efficacy of CTG monitoring. Based on RANZCOG 2014 definitions and guidelines, IntelliLearn's EFM course provides a focus on understanding and interpreting CTGs, as well as the management of clinical cases, with a strong focus on the physiology of the fetus. This course has been developed to cater for the needs of undergraduate Midwifery and Medical students as well as all Clinicians involved in Midwifery and Obstetric Care.

Learning Outcomes

Learning Outcomes include:  
  • Identify the importance of understanding the physiology of cellular function
  • Describe the impact of oxygenation in respect to changes demonstrated in the CTG
  • Identify features of a CTG using definitions consistent with the RANZCOG “Intrapartum Clinical Surveillance - Clinical Guidelines”
  • Define baseline FHR, baseline variability, accelerations and decelerations
  • Discuss the recommended management of clinical presentations based on the assessment of possible fetal compromise as outlined in the RANZCOG “Intrapartum Clinical Surveillance – Clinical Guidelines”

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