ABSTRACT
The name, date and time should always be checked when reviewing a cardiotocograph (CTG) trace. If at all uncertain about the interpretation of a CTG trace, staff should always seek a more senior opinion. The use of fetal blood sampling (FBS) reduces the known increase in Caesarean section rate that is associated with continuous fetal heart rate monitoring. FBS should be considered in the following cases: an abnormal trace that continues for more than 30 min in the normally grown baby or for more than 10 min in a growth restricted and/or preterm baby; the appearance of meconium staining for the first time during labour in conjunction with a suspicious trace; or rotation delivery is planned and the CTG is not normal. FBS should not be attempted in the following cases: If the clinical picture demands early delivery and when a severly abnormal trace prompts immediate delivery.
