Physiological CTG form

“Physiological CTG form”
Date:

Time:

VE:

Baseline: 140

Corresponding to GA: Yes No

Variability: 5

Cycling: Yes No

Accelerations: Yes No

Decelerations:
None
Shallow Wide
Shallow Quick Recovery
Baroreceptor Quick Recovery
Baroreceptor Slow Recovery
Bradycardia

Signs of Chronic Hypoxia: Yes No

Number of contractions in 10 minutes:

Time between contractions >90s: Yes No

Plan: Trial in theatre Cat1 CS Septic Screen Terbutaline IV Fluids Encourage Pushing Monitor CTG Instrumental in room Antibiotics Left Lateral