CTG Masterclass

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

Best practice in intrapartum management

£99 for full day of training, including lunch, tea and coffee.

Student discounts available (with valid student ID), check individual study days for details.

To book please click on the selected course below 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.
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 provide evidence-based training on CTG Interpretation based on fetal physiology and pathophysiology of intrapartum hypoxic injury so as to reduce hypoxic ischaemic encephalopathy whilst reducing unnecessary operative interventions.

  • To understand control of fetal heart rate and the factors that affect the features observed on the Cardiotocograph (CTG)
  • To understand the types of intrapartum hypoxia and resultant features observed on CTG Trace
  • To appreciate wider clinical picture such as inflammation, infection and meconium whilst interpreting CTG Traces
  • To ensure rational application of National Guidelines and additional tests of fetal wellbeing to optimize perinatal outcomes
  • To effect a paradigm shift from pattern recognition to process recognition whilst interpreting CTG Traces
Relevant For

This exciting and hugely popular one-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 covers the pathophysiology of CTG, NICE guidance, acid-base balance, the technology behind CTG and ST-Analyser (STAN) together with an overview of clinical cases and medico-legal learning points.

  • Principles of Intermittent Auscultation to ensure effective monitoring of low risk pregnancies
  • Pathophysiology of CTG to help understand physiology behind observed ‘CTG Patterns’
  • NICE Guidelines – its ‘rational application’ in clinical practice
  • Use of CTG with special clinical situations such as previous caesarean sections, meconium and oxytocin
  • Risk management strategies to reduce hypoxic injuries in labour ward
  • Interactive Case Reviews: to help delegates use the knowledge of physiology in CTG
  • Interpretation and to determine fetal response to hypoxic stress.
  • Avoiding medico-legal pitfalls by greater understanding of the types of hypoxia
  • Understanding the technology behind CTG Machines
  • Understanding acid–base balance and the role of additional tests of fetal wellbeing to reduce the false positive rate of CTG
  • Principles of ST-Analyser (STAN) to understand how fetal ECG may help improve outcomes
  • CTG pre- and post-course tests to help demonstrate change in knowledge by the CTG Masterclass (ie outcome)