Digital CTG

Digital CTG (cardiotocography) monitoring using Philips ISP went live at the Joan Kirner Women’s & Children’s (JKWC) on Tuesday 29th September 2020.

 

Quick Reference Guides

Philips ISP Quick Reference Guide –  Midwifery and Medical Workflows 17.09.2020

Philip’s ISP Quick Reference Guide Offline Procedure  23.09.2020

 

About Digital CTG

A CTG is the measurement of fetal heartbeat and uterine contraction during pregnancy. Analysis of the CTG trace gives the clinician an indication of the baby’s condition and facilitates early detection of fetal distress. According to BOS (Birthing Outcome System), 75% of pregnant women presenting to Sunshine Hospital required CTG monitoring in 2017.

Current practice requires the clinician to review the CTG trace from inside the patient’s room to assess for trends in variability, monitoring fetal heart rate above and below baseline for signs of accelerations and decelerations. The paper output can be quite long, with some traces exceeding 30 metres, making it difficult to view properly and plan care accordingly.

Centralised digital CTG monitoring will provide a comprehensive method of monitoring, assessing and accessing CTGs both throughout the hospital and remotely. The integration of clinical information and increased visibility of maternal and fetal status in birthing rooms, in JKWC Birthing and remotely supports mitigation of clinical risks, increases patient safety and improves birth outcomes.

 

Training

 A 45 minute online learning package for the Philips ISP CTG monitoring solution is available through WeLearn and should be completed by all clinicians who care for patients needing CTG monitoring.

This training package demonstrates new functionality such as:

  • Validation of intrapartum stickers in Philips ISP
  • Electronic annotation
  • The replacement of Excel spreadsheets currently used in MAC and Birthing by a chalkboard using information entered into Philips ISP. The use of chalkboards will reduce time spent on documentation as the chalkboard is updated using information entered into Philips ISP.

 

For further information

Please contact Denise Schembri, Digital CTG Project Manager – denise.schembri@wh.org.au