CTG

INDICATIONS FOR FETAL
ASSESSMENT
There are numerous situations in which it is important to ascertain both
the maturity and the health of the fetus while it is still in utero. Among
these are the following:
During Pregnancy
Patients at Risk for Uteroplacental Insufficiency
1. Diabetes mellitus
2. Hypertension and preeclampsia
3. Renal disease
4. Previous stillbirth
5. Intrauterine growth restriction, suspected
6. Postterm pregnancy (over 42 weeks)
7. Isoimmunization
8. Preterm premature rupture of membranes
9. Multiple gestation
10. History of placental abruption
11. Chronic abruption
12. Maternal obesity
13. Abnormal maternal serum screening in the absence of fetal anomaly
14. Oligohydramnios or polyhydramnios
Obstetric Reasons
1. Previous cesarean section
2. When induction of labor is necessary
a. In the interests of the mother
b. In the interests of the fetus
During Labor
Obstetric Reasons
1. Clinically detected abnormalities of the fetal heart rate (FHR)
2. Passage of meconium
3. Oxytocin stimulation of labor
4. Preterm labor
5. Slow progress in labor
6. Abnormal presentation