Volume 37 (2023) – Issue 2 – Article 3 – Review of Clinical Pharmacology and Pharmacokinetics – International Edition

Open Access-Title

The knowledge level of health professionals in cardiotocography and the resulting adverse perinatal outcomes

Author

Alexandra Dousemertzi, Paraskevi Giaxi, Kleanthi Gourounti

Department of Midwifery, University of West Attica, Greece

Citation

A. Dousemertzi, P. Giaxi, Kl. Gourounti. The knowledge level of health professionals in cardi-otocography and the resulting adverse perinatal out-comes. Review Clin. Pharmacol. Pharmacoki-net. 2023, 37, 2, 69-73. DOI: 10.5281/zenodo.8399079

Publication Date
02-10-2023
Full Text Language

English

Keywords
Health professionals; Cardiotocography; knowledge level; adverse obstetric outcomes; fetal hypoxia; perinatal brain injuries
Other Terms

Study

Summary
The purpose of fetal cardiotocography (CTG) is to monitor fetal status during the intrapartum period. Even though CTG is a safe evaluation method, errors in the interpretation of CTG contribute significantly to infant mortality and morbidity. The findings of this systematic review have shown that there are several knowledge gaps of health professionals regarding the cardioto-cography and the adverse perinatal outcomes that may result from misuse or misinterpretation of CTG. Constant education and training programs for healthcare professionals, coupled with regular evalua-tions of CTG practices, can help to enhance the knowledge and proficiency of healthcare professionals in using CTG. In conclusion, the appropriate level of knowledge and proficiency of healthcare professionals in utilizing induction CTG is crucial in minimizing the risk of adverse obstetric outcomes such as intrapar-tum hypoxia and perinatal brain damage.
References 1. Tarvonen M, Hovi P, Sainio S, Vuorela P, An-dersson S, Teramo K. Intrapartum zigzag pattern of fetal heart rate is an early sign of fetal hypoxia: A large obstetric retrospective cohort study. Acta Obstet Gynecol Scand.100(2):252-262 (2021)
2. Ma Q, Zhang L. Epigenetic programming of hy-poxic-ischemic encephalopathy in response to fetal hypoxia. Prog Neurobiol.124:28-48 (2015)
3. Aletti F, Ferrario M, Tam E, Cautero M, Cerutti S, Capelli C, Baselli G. Identification of vascular re-sponses to exercise and orthostatic stress in bed rest-induced cardiovascular deconditioning. Annu Int Conf IEEE Eng Med Biol Soc. 5332-5 (2009)
4. Lamé G, Liberati E, Burt J, Draycott T, Winter C, Ward J, Dixon-Woods M. IMproving the practice of intrapartum electronic fetal heart rate MOnitoring with cardiotocography for safer childbirth (the IMMO programme): protocol for a qualitative study. BMJ Open. 28;9(6):e030271 (2019)
5. Pehrson C, Sorensen JL, Amer-Wåhlin I. Evalua-tion and impact of cardiotocography training pro-grammes: a systematic review. BJOG.118(8):926-35 (2011)
6. Miller LA. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens Health. 50(6):507-16 (2005)
7. Mahmood, Asmaa Hashem, Kokab Zai and A. Parven. Positive Predictive Value of Abnormal Car-diotocography Trace During Labour for Poor Fetal Outcome. Journal of Fatima Jinnah Medical University 7;(3) (2013)
8. Brown VA, Sawers RS, Parsons RJ, Duncan SL, Cooke ID. The value of antenatal cardiotocography in the management of high-risk pregnancy: a ran-domized controlled trial. Br J Obstet Gynaecol. 89(9):716-22 (1982)
9. Santo S, Ayres-de-Campos D. Human factors affecting the interpretation of fetal heart rate trac-ings: an update. Curr Opin Obstet Gynecol. 24(2):84-8 (2012)
10. Dover SL, Gauge SM. Fetal monitoring–midwifery attitudes. Midwifery. 11(1):18-27 (1995)
11. Gourounti K, Sarantaki A, Diamanti A, Giaxi P, Lykeridou K. The Development and Psychometric Evaluation of the Electronic Fetal Monitoring Knowledge Scale. Acta Inform Med. 28(4):254-260 (2020)
12. James S, Maduna NE, Morton DG. Knowledge levels of midwives regarding the interpretation of cardiotocographs at labour units in KwaZulu-Natal public hospitals. Curationis. 27;42(1):e1-e7 (2019)
13. Zhu LA, Blanc J, Heckenroth H, Peyronel C, Graesslin B, Marcot M, Tardieu S, Bretelle F. Fetal physiology cardiotocography training, a regional evaluation. J Gynecol Obstet Hum Re-prod. ;50(6):102039 (2021)
14. Reif P, Schott S, Boyon C, Richter J, Kavšek G, Timoh KN, Haas J, Pateisky P, Griesbacher A, Lang U, Ayres-de-Campos D. Does knowledge of fetal outcome influence the interpretation of intrapartum cardiotocography and subsequent clinical man-agement? A multicentre European study. BJOG.;123(13):2208-2217 (2016)
15. Carbonne B, Sabri-Kaci I. Assessment of an e-learning training program for cardiotocography analysis: a multicentre randomized study. Eur J Obstet Gynecol Reprod Biol. ;197:111-5. doi: 10.1016/j.ejogrb.2015.12.001 (2016)
16. Thellesen L, Sorensen JL, Hedegaard M, Ros-thoej S, Colov NP, Andersen KS, Bergholt T. Cardi-otocography interpretation skills and the associa-tion with size of maternity unit, years of obstetric work experience and healthcare professional background: a national cross-sectional study. Acta Obstet Gynecol Scand.;96(9):1075-1083 (2017)
17. Rivenes Lafontan S, Sundby J, Kidanto HL, Mbekenga CK, Ersdal HL. Acquiring Knowledge about the Use of a Newly Developed Electronic Fetal Heart Rate Monitor: A Qualitative Study Among Birth Attendants in Tanzania. Int J Environ Res Public Health.14;15(12):2863 (2018)
18. Tedesco S, Wallace EM, Chang S, Beaves M. Intrapartum fetal surveillance education in Victorian hospitals revisited. Aust N Z J Obstet Gynae-col.;60(3):467-469 (2020)
19. ACOG Practice Bulletin No. 106: Intrapartum fetal heart rate monitoring: nomenclature, interpre-tation, and general management principles. Obstet Gynecol.;114(1):192-202 (2009)
20. Renfrew MJ, McFadden A, Bastos MH, Campbell J, Channon AA, Cheung NF, Silva DR, Downe S, Kennedy HP, Malata A, McCormick F, Wick L, De-clercq E. Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. Lancet. 20;384(9948):1129-45 (2014)
21. McAllister H, Bradshaw S, Ross-Adjie G. A study of in-hospital midwifery practices that affect breast-feeding outcomes. Breastfeed Rev.;17(3):11-5 (2009)
22. Tan KH, Wyldes MP, Settatree R, Mitchell T. Confidential regional enquiry into mature stillbirths and neonatal deaths–a multi-disciplinary peer panel perspective of the perinatal care of 238 deaths. Singapore Med J.;40(4):251-5 (1999)
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