How contractions can be determined by CTG?

The expectation of labor increases as a woman’s pregnancy draws to a close. Although it can occasionally be challenging to determine when contractions are occurring, they are one of the primary indicators that labor is about to start. This is where cardiotocography, or CTG, is useful.

Doctors and midwives frequently use CTG to track the mother’s contractions and the baby’s heartbeat. This technique can help determine whether or not actual contractions are occurring and gives a clear picture of how the baby is reacting to labor.

Knowing how CTG functions and what it reveals can provide many expecting parents with comfort during an anxious and exciting time. This post will discuss how CTG finds contractions and what to anticipate while it’s happening.

CTG Feature How it Shows Contractions
Uterine Activity A rise in the graph indicates the uterus is contracting, shown as peaks in the uterine activity line.
Fetal Heart Rate A slight change in the baby"s heart rate may occur during a contraction, typically a brief dip or increase.

During pregnancy and labor, a technique called cardiotocography (CTG) is used to track the mother’s contractions and the baby’s heartbeat. By monitoring the baby’s response and identifying changes in uterine activity, it can assist in determining when contractions are occurring. This ensures the safety of the mother and the unborn child by providing doctors with crucial information about the baby’s health and the status of labor.

What shows the method?

Numerous nations find great popularity in this study. It is no coincidence that she is so popular. This examination provides doctors with a great deal of necessary information regarding the baby’s emotional state. They measure the mother’s uterine walls’ degree of abbreviation, as well as his heartbeat and motor activity. This is not an invasive examination. It can be performed without the use of any surgical techniques. The examination does not present a risk or cause the expectant mother or her child any anxiety. These aspects of the technique contributed to its enormous appeal.

Cardiotocography (CTG) can be done at a different stage of the baby’s intrauterine development. It is useful to assess whether there are any potentially harmful pregnancy complications. This study can also be completed right before a woman goes into labor. It is possible to determine whether she is experiencing contractions based on certain changing indicators. This procedure is also used in some cases right during labor. This aids in the monitoring of labor progress by doctors.

A shift in strategy may be necessary if the cardiotocography indicators dramatically diverge from the upper limit of acceptable values while the baby is passing through the birth canal. The woman will have a cesarean section in this case.

What indicators are used?

The baby’s condition is evaluated using a number of assessed parameters. This enables medical professionals to evaluate the child’s wellbeing in great detail. The baby’s heartbeat is the primary parameter that is tracked using this method. Throughout the pregnancy, this indicator undergoes significant changes.

As the baby grows, the work of its cardiovascular system changes. This is due to the fact that for active growth and development it needs chemicals and oxygen. They are carried by blood. For normal blood flow, a sufficient number of heart contractions is required. With various pathologies, the number of contractions of the child"s heart can change. Often, fetal hypoxia leads to the development of such an unfavorable symptom. In this case, the supply of necessary nutrients for the functioning of the child is significantly reduced. Special sensors are used to measure this indicator. They are attached to the expectant mother"s abdomen. The best position for her to measure this indicator is lying on the couch on her back or on her side. Sensors can also be attached during physiological (real) or training contractions.

The woman takes part in the study herself. If she senses the child is moving around actively, she needs to press the device’s button. Such a study aids the physician in understanding how the child manages this condition during contractions.

Currently, doctors try to perform cardiotocography throughout the entire period of labor. This helps doctors get information about how the child feels during active labor. It is worth noting right away that such studies are not performed throughout the entire period of labor not in every medical institution. A lot depends on the level of material and technical base it has. However, such studies are very important to conduct during labor for all women who are at risk for developing dangerous pathologies of labor. As a rule, many of them give birth in specialized perinatal centers or specialized maternity hospitals. With the help of this method, you can also determine the intensity of contractions. Doctors evaluate the strength of contractions using several clinical parameters. Such an assessment, which can be excessive or, conversely, sharply weakened, helps specialists to establish various pathologies of labor in time.

The baby’s condition is simply monitored until birth if the labor is progressing smoothly and the contractions are within normal limits.

How to identify contractions?

Doctors can detect the onset of labor using special devices on which research is conducted. Before the start of the examination, the patient"s initial data is entered. It is also important to record the period when she has no uterine contractions. Such a unique lower line will be the reference point of the study. Experts note that all contractions begin from the area of ​​the bottom of the reproductive organ. Sensors are fixed in this place. This is necessary so that all emerging impulses are clearly displayed on the monitor of the device or on film. The process of general contraction is ensured by the sequential contraction of each individual muscle fiber. As soon as the entire uterine wall is reduced and it reaches the bottom, this is displayed on the monitor screen.

Doctors can tell when contractions are about to start by observing a changing pattern. They assess both the length and the intensity of such an episode. Every indication is noted. Evaluating the dynamics of fights during childbirth is crucial. This technique allows you to recognize training uterine abbreviations in addition to real ones.

These contractions are more common in the latter weeks of pregnancy and in the second half of the baby’s intrauterine development. They appear as erratic contractions on a film or monitor of the apparatus. They don’t last very long.

When the doctors report that they are experiencing training contractions, many aspiring mothers get extremely concerned. It is not worth your time to worry about this. This is a physiological condition that many women report having. Usually, the future mother feels nothing at all during these uterine battles. Still, some women experience them. They might report to their physicians that they are experiencing a "pulling" pain or mild discomfort in the lower abdomen. During the examination, the uterine fundus may become more compacted, according to the doctor.

With the use of extremely sensitive strain gauge sensors, this condition is also precisely determined. Together with their assistance, it is possible to identify a small increase and mild strain in the uterine fundus region. One of these "training" episodes typically lasts between sixty and ninety seconds.

Cardiotocography, or CTG, is a dependable method for monitoring labor contractions. It aids medical personnel in assessing the state of labor and the baby’s response by tracking the infant’s heart rate and uterine contractions.

Knowing that their body and the baby are being closely monitored can give expectant mothers peace of mind. It’s also a crucial tool for doctors to use when deciding when to intervene or offer more assistance during labor.

Knowing how CTG operates can help you feel more prepared and confident when you’re getting ready for labor. Never hesitate to ask questions about the procedure and how it will help you give birth. Your healthcare provider will be happy to answer them.

Video on the topic

How contractions are displayed on CTG, is it possible to determine the approach of labor by them?

decoding CTG using my example how to recognize fetal hypoxia uterine tone contractions

What is fetal CTG? Decoding CTG | Victoria Matvienko

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Olga Sokolova

Experienced pediatrician and consultant on children's health. Interested in modern approaches to strengthening the immune system, proper nutrition and child care. I write to make life easier for moms and dads by giving proven medical advice.

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