Cardiotocography Monitoring Policy

Applicable to: This policy applies to Health Service Providers and Contracted Health Entities that provide public funded maternity care. Executive staff within these services will be familiar with issues related to fetal monitoring and clinical governance/risk management strategies. All clinicians with a responsibility for conducting or interpreting CTG monitoring should be familiar with the content of the Policy and associated Standard.

Description: The Cardiotocography Monitoring Policy mandates state-wide minimum requirements for cardiotocography (CTG) monitoring practices and staff education for Western Australian publicly funded maternity services.

Antenatal and intrapartum fetal surveillance are integral components of contemporary maternity care.

The focus of the Policy and Standard Is the use of CTG recordings of the fetal heart rate and uterine activity, hereafter referred to as CTG monitoring. The primary purpose of CTG monitoring is to assess fetal well-being and identify signs of suspected fetal compromise in order to initiate management that may reduce or prevent fetal morbidity and mortality.

The aim of the Policy and Standard is to standardise key aspects related to this practise and as a result reduce the risk of adverse events associated with CTG monitoring practices within these services thus improving perinatal outcomes.

The Policy and Standard do not address all aspects of CTG monitoring or fetal monitoring required for best practice, instead focussing on standardising key aspects and areas of variation within WA publicly-funded maternity services. The aim is not to replace site specific guidelines already in existence as these will accommodate local considerations.

Date of effect: 10 January 2018 to 10 January 2022

Policy Framework

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