Advanced CTG Masterclass

Intrapartum Assessment of Fetus and Management of Fetus at Risk of Intrapartum Hypoxic Injury

Best practice in intrapartum management

£199.50 for two full days training, including lunch, tea and coffee for both days.

To book please click on the selected course above and fill out our online application form. Please note administration fee charges of £30 per booking will be made for any cancellations – as we are a not for profit organisation and will have incurred costs.

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Please click on a course on the table below to book your place.
Advanced CTG Masterclass
  • Mr Edwin Chandraharan
    BIRTH2 Course Director - CTG Masterclass

Course Outline

The NHSLA report ‘Ten Years of Maternity Claims’ has highlighted cardiotocograph (CTG) interpretation as a major source of litigation, with the main allegations focusing on the failure to recognise an abnormal CTG and act on it. Failure to refer appropriately and poor documentation were also commonly recognised in the report.

Aims of the Course

This course aims to enable midwives and obstetricians to be the champions of change in their local maternity units to bring about a paradigm shift in CTG interpretation based on fetal physiology so as to reduce unnecessary operative interventions whilst improving perinatal outcomes.

Relevant For

This exciting and hugely popular two-day course is beneficial for all midwives, obstetricians and clinical negligence lawyers who are involved in interpreting CTG traces. A basic knowledge of CTG interpretation would be beneficial, but not essential.


The course is an extended version of our hugely popular one-day CTG Masterclass, and will look in more depth at the CTG monitoring practices. The course will be led by experts in the field including Mr. Edwin Chandaharan and his research team from St George’s Hospital, London.


·         CTG: Pearls and Pitfalls
·         Understanding normal Placentation, Fetal Oxygenation and  fetal heart rate control & physiology behind ‘CTG Patterns’
·         Intermittent Auscultation
·         Types of Hypoxia in Labour: features on the CTG
·         ‘Wider Clinical Picture’
·         Interactive Review of Cases


·         Re-cap: Understanding the types of intrapartum hypoxia in interpreting CTG
·         CTG Monitoring in High Risk Labour : Meconium, infection etc
·         Fetal Acid-Base Balance and Fetal Scalp Blood Sampling
·         Discussion & Interactive Case Discussion
·         Role of Fetal ECG in Intrapartum Fetal Monitoring
·         Case Illustrations: Fetal ECG in Clinical Practice
·         Groups A&B
·         Interactive Review of Cases