Programme Rationale:

The monitoring of the fetal heart rate (FHR) in labour aims to identify hypoxia before it is sufficient to lead to long-term poor neurological outcome for babies. In Ireland the NMBI states that each midwife has a responsibility to develop and maintain on-going competence to provide safe and effective midwifery care by engaging with continuing professional development in areas relevant to their practice (Practice Standards for Midwives 2015)

Programme Philosophy:

In the Centre for Midwifery Education we commit to an andragogical approach to learning in which proactivity, enquiry and autonomy feature predominantly (Quinn 2013). As a result we acknowledge that programme participants are adult learners with existing knowledge and a wealth of experience and therefore utilise teaching strategies that encourage reflection dialogue and debate.

Value is placed on the experience, expertise and ability of programme facilitators to impart evidence based knowledge.

Programme Aim:

The aim of this programme is to provide attendees with up to date evidence on fetal heart rate monitoring.

Learning Outcomes:

On completion of this programme it is anticipated that attendees will be able to:

Critically discuss continuous versus intermittent fetal heart monitoring

Identify the features of a cardiotocograph (CTG)

Use the correct terminology to classify cardiotocograph

Demonstrate an understanding of acid base balance

Adhere to best practice when documenting CTGs

Indicative Content

K2 Intrapartum Cardiotocography and Acid Base and Fetal Physiology on-line training

Current evidence of continuous versus intermittent FH monitoring

Features and classification of cardiotocograph

Fetal physiology and acid base balance

Documentation and CTG.

This programme is based on the current IOG/HSE Clinical Practice Guideline No. 6. Version 1.2. 2012 Intrapartum Fetal Heart Rate Monitoring. ( This Guideline references the NICE Clinical Guideline 55, Intrapatum Care 2007).