Fetal physiology cardiotocography training, a regional evaluation

Area of Science:

• Perinatal Medicine
• Obstetrics
• Fetal Monitoring

Background:

• Cardiotocography (CTG) has limitations in identifying fetal acidosis and intrapartum asphyxia.
• Effective fetal monitoring is crucial for neonatal safety during labor.

Purpose of the Study:

• To evaluate a training program focused on fetal physiology for improving CTG interpretation.
• To assess the short-term and long-term effectiveness of this educational intervention.

Main Methods:

• A CTG masterclass based on fetal physiology was delivered to 248 professionals across 32 maternity units.
• Participants' interpretation of practical CTG cases was assessed before training (T0), one month after (T1), and six to seven months after (T2).
• A mixed-effects model was used to analyze score changes over time, considering participant profession and maternity unit level.

Main Results:

• Mean scores significantly improved from T0 (4.97/10) to T1 (6.44/10) and T2 (6.17/10).
• The improvements observed at T1 were sustained at T2, indicating stable long-term knowledge retention.
• The p-values for T1 vs T0 and T2 vs T0 were <0.0001, while T1 vs T2 was not significant (p=0.143).

Conclusions:

• A CTG training program grounded in fetal physiology effectively enhances professionals' interpretation skills.
• The positive impact on CTG interpretation is evident in the short term and maintained over several months.
• Continuous medical education is vital for sustaining and advancing knowledge in fetal monitoring to ensure neonatal safety.