Time Taken to Complete Modules
Completing all Fetal Monitoring Modules (Fetal Physiology, Cord Blood Gas Analysis, CTG) equates to 11 hours and 35 minutes. Or 695 minutes of training.
CTG Simulator Cases are each awarded 30 minutes in training mode and 30 minutes in assessment mode.
Completing all Maternity Crisis Modules equates to 8 hours and 20 minutes or 500 minutes of training.
Fetal Monitoring Training
Fetal Physiology Chapter
Fetal Physiology | ||
Topic 1 | A: Normal Physiology | 30 minutes |
Section 1 | Normal Physiology. Introduction, Aerobic metabolism, the meaning of pH, CO² elimination, Summary and examples. | |
Topic 2 | B: Disturbed Acid-base balance (1) | 40 minutes |
Section 2 | Disturbed Acid-base balance (1) Introduction, respiratory acidaemia, fetal adaption to hypoxia, anaerobic metabolism, summary, and examples. | |
Topic 3 | C: Disturbed Acid-base balance (2) | 30 minutes |
| Section 3 | Disturbed Acid-base balance (2) Introduction Acid-base balance (2) Introduction, base deficit, metabolic acidemia, the influence of maternal acid-base status, summary & examples. | |
Total Time Taken | 1 hour & 40 minutes |
Cord Blood Gas Chapter
Cord Blood Gas | ||
Topic 1 | A: Introduction to Cord Blood Gas Analysis | 30 minutes |
Section 1 | Introduction to Cord Blood Gas Analysis, Aim and overview. Neonatal assessment, neonatal management, audit, medicolegal purposes. | |
Topic 2 | B: Cord Sampling in Practice | 50 minutes |
Section 2 | Methods of Cord Sampling, introduction, a collection of blood, storage and analysis of blood, checking for paired samples, a summary of examples. | |
Section 3 | Importance of Paired Samples. Introduction, 3 reasons for paired samples, summary & examples. | |
Topic 3 | C: Interpretation of Results | 1 hour and 35 minutes |
Section 4 | Interpretation of Results Introduction to Interpretation of results, data from large studies, Acid-base status & neonatal morbidity. | |
Section 5 | Data from Large Studies. Introduction, pH, pCO2, base deficit, summary & examples. | |
Section 6 | Acid-base Status & Neonatal Morbidity. Introduction, pH: a poor indicator, neonatal morbidity, summary & examples. | |
Section 7 | Guidelines for Interpretation. Introduction, general principles, ‘normal ranges’, special circumstances, summary & examples. | |
Total Time Taken | 2 hours & 55 minutes |
Intrapartum Cardiotocography (or CTG) Chapter
Cardiotocography (or CTG) | ||
Topic 1 | A: Introduction to Cardiotocography | 15 minutes |
Section 1 | The Purpose of Monitoring.Aims, benefits, and pitfalls of the intrapartum CTG. | |
Section 2 | A Snapshot of Fetal Physiology. Control of the fetal heart rate. | |
Section 3 | A Systematic Approach. Some basic principles of CTG interpretation. | |
Topic 2 | B: Fetal Heart Rate Patterns 1: Basic Features | 1 hour and 10 minutes |
Section 4 | Baseline.Definition, determining the baseline, summary. | |
Section 5 | Accelerations. Definition, physiology, significance, summary. | |
Section 6 | Variability. Definition, physiology, technical limitations, significance, summary. | |
Section 7 | Decelerations. Definition, physiology, significance, summary. | |
Section 8 | Tocogram. Purpose, clinical value, summary. | |
Topic 3 | C: Fetal Heart Rate Patterns 2: 'Not Normal' Features | 1 hour |
Section 9 | Baseline Tachycardia. Definition, causes, significance, summary. | |
Section 10 | Abnormal Variability.Introduction, low variability, increased variability, summary. | |
Section 11 | Decelerations. Introduction, characteristics of decelerations, significance, NICE classification of decelerations. | |
Section 12 | Baseline Bradycardia.Introduction, appropriate clinical use, summary. | |
Topic 4 | D: Interpreting the CTG | 1 hour and 15 minutes |
Section 13 | Fetal Blood Sampling.Introduction, appropriate clinical use, summary. | |
Section 14 | Clinical Background. Risk factors, precipitating events, stage of progress in labour, summary. | |
Section 15 | Second Stage. Problems of the second stage tracing, four useful tips, summary. | |
Section 16 | RANZCOG Guidelines for CTG interpretation. The categorisation of the fetal heart rate features. | |
Total Time Taken | 3 hours & 35 minutes |
Errors & Limitations in Fetal Monitoring Chapter
Errors & Limitations in Fetal Monitoring | ||
Topic 1 | A: Fetal Heart Rate Detection by Ultrasound | 50 minutes |
Section 1 | How does it work? Fetal heart rate detection by ultrasound, the beating heart, the ultrasound transducer. | |
Section 2 | Errors when using ultrasound.Signal quality, fetal heart rate doubling, fetal heart rate halving, inadvertent recording of maternal heart rate, spotting maternal recording, guarding against maternal recording. | 25 minutes |
Topic 2 | B: Fetal Heart Rate Detection with Scalp Electrodes | |
Section 3 | How does it work, FHR patterns, artifacts & arrhythmia, monitoring faults, corrective actions. | |
Topic 3 | C: Dual Heart Rate Monitoring | 20 minutes |
Section 4 | Dual HR indications & methods, risks in dual HR monitoring, identifying HR coincidence, offset mode, off-scale conditions, corrective actions | |
Topic 4 | D: Uterine Activity Monitoring | 20 minutes |
Section 5 | Managing the tocotransducer, what are the risks, contractions patterns, intrauterine pressure catheters, summary. | |
Topic 5 | E: How to Guard Against Errors & Summary | 25 minutes |
Section 6 | Recorder fallibilities, how to avoid mistakes, multiple fetuses, obtaining a good signal, second stage, factors, audio output & documentation. | |
Total Time Taken | 2 hours & 20 minutes |
Intermittent Auscultation Chapter
Intermittent Auscultation | ||
Topic 1 | A: Monitoring the Fetal Heart | 20 minutes |
Section 1 | Determining the fetal position, troubleshooting, Practicing IA. | |
Topic 2 | B: Auscultating the Fetal Heart | 20 minutes |
Section 2 | The link between fetal heart and fetal well-being, direct and indirect methods, limitations. | |
Topic 3 | 3: Intrapartum Intermittent Auscultation | 10 minutes |
Section 3 | Process of IA, guidelines for the use of IA. | |
Total Time Taken | 50 minutes |
Antenatal CTG Chapter
Antenatal CTG | ||
Topic 1 | A: Introduction to Antenatal CTG | 15 minutes |
Section 1 | Define the purpose of antenatal CTG, when would antenatal CTG be required, correct procedure for conducting antenatal CTG. | |
Topic 2 | B: Accelerations | 15 minutes |
Section 2 | Define fetal heart rate acceleration, review of physiology of accelerations, tell the significance of accelerations in a tracing. | |
Topic 3 | C: Reactive and Non-Reactive Patterns | 30 minutes |
Section 3 | Define reactive & non-reactive patterns, identify a reactive & non-reactive pattern, the significance of a non-reactive pattern, other measures as a result of a non-reactive pattern. | |
Total Time Taken | 40 minutes |
Maternity Crisis Management Training
Shoulder Dystocia Chapter
Shoulder Dystocia | ||
Topic 1 | A: Definition and Cause of Should Dystocia | 20 minutes |
Section 1 | Antenatal risk factors and intrapartum characteristics. | |
Topic 2 | B: Maternal and Neonatal Complications | 30 minutes |
Section 2 | i: Maternal Complications. Introduction, postpartum haemorrhage, uterine trauma, perineal trauma. | |
Section 3 | ii: Neonatal Complications.Introduction, HIA, brachial plexus injury. | |
Topic 3 | C: Management and Manoeuvres | 55 minutes |
Section 4 | i: Intrapartum Management. Introduction, goals of intrapartum management, managing time limits, calling for help. | |
Section 5 | ii: Manoeuvres. Introduction, McRoberts’, Rubins I, Rubins II, Woods Screw, Reverse Woods Screw, Delivery of the posterior arm, Gaskins maneuver, advanced maneuvers. | |
Section 6 | iii: Postpartum and On-going Risk Management. Introductions, postpartum care requirements, the importance of training, communication & documentation. | |
Total Time Taken | 1 hour & 45 minutes |
Breech Chapter
Breech | ||
Topic 1 | A: Introduction to Breech | 20 minutes |
Section 1 | Incidence, risk factors and types of breech presentation, current issues affecting breech, mode of delivery decision. | |
Topic 2 | B: Intrapartum Breech Management | 50 minutes |
Section 2 | The management principles, the undiagnosed breech, breech mechanisms, emergency maneuvers. | |
Total Time Taken | 1 hour & 10 minutes |
Postpartum Haemorrhage Chapter
Postpartum Haemorrhage | ||
Topic 1 | A: Postpartum Haemorrhage | 1 hour & 20 minutes |
Section 1 | Primary Postpartum Haemorrhage. Risk factors for PPH, the main causes of PPH, the principles of PPH management. | |
Total Time Taken | 1 hour & 20 minutes |
Maternal Collapse Chapter
Maternal Collapse | ||
Topic 1 | A: Maternal Collapse | 1 hour |
Section 1 | Incidence & risk factors for maternal collapse, the use of the DRSABCD mnemonic & its application in pregnancy. | |
Total Time Taken | 1 hour |
Pre-Eclampsia Chapter
Pre-Eclampsia | ||
Topic 1 | A: Introduction to Pre-eclampsia | 40 minutes |
Section 1 | Define hypertension and severe hypertension, identify risk factors for pre-eclampsia, effects on mother and fetus, signs and symptoms of pre-eclampsia. | |
Topic 2 | B: Diagnosing & Managing Pre-eclampsia | 30 minutes |
Section 2 | Describe the diagnostic features of pre-eclampsia, identify the key steps to managing pre-eclampsia. | |
Topic 3 | C: Preventing & Management Eclampsia | 30 minutes |
Section 3 | Describe the principles of eclampsia management, be aware of management principles of eclamptic seizures, use of magnesium sulphateand complications associated, drug regimes used for management of severe hypertension. | |
Total Time Taken | 1 hour & 40 minutes |
Uterine Rupture Chapter
Uterine Rupture | ||
Topic 1 | A: Uterine Rupture | 20 minutes |
Section 1 | Identifying the risk factors and the incidence of uterine rupture, complications of uterine rupture, recognition of uterine rupture and its management. | |
Topic 2 | B: Uterine Inversion | 30 minutes |
Section 2 | Identifying the risk factors and incidence of uterine inversion, complications of uterine inversion, recognition of uterine inversion and its management. | |
Total Time Taken | 50 minutes |
Cord Presentation & Prolapse Chapter
Cord Presentation & Prolapse | ||
Topic 1 | A: Introduction of Cord Prolapse | 15 minutes |
Section 1 | Definition of cord prolapse, the incidence of, risk factors for and complications of cord prolapse. | |
Topic 2 | B: Identification and Management of Cord Prolapse. | 30 minutes |
Section 2 | Identifying cord prolapse, initial management of cord prolapse. | |
Total Time Taken | 45 minutes |
Antepartum Haemorrhage Chapter
Antepartum Haemorrhage | ||
Topic 1 | A: Antepartum Haemorrhage | 50 minutes |
Section 1 | Risk factors for APH, the main cause of APH: placenta praevia, placental abruption and vasa praevia, the principles of APH management. | |
Total Time Taken | 50 minutes |
Training & Assessment Simulator
Each training simulator case will take users an average of an hour to complete (30 minutes each in both training and assessment modes).
Simulation is recognised as one of the best means of preparation for clinical practice. We have built up a comprehensive database of over a thousand cases with normal and abnormal CTG patterns with normal and very abnormal outcomes.
These cases are presented in their entirety and users decide, blind to outcome, how they should be managed. When the case review is over users can compare their management with 3 independent experts and the actual clinical outcome.
- Allows you to select from a variety of interesting cases
- Provides you with feedback after each 15-minute segment to enhance you CTG interpretation skills
- Tailored CTG training with either RANZCOG or NICE classification and expert guidance
- You will be randomly assigned a case with the case ID withheld
- Designed to test your ability to identify CTG features, classify the trace accordingly and act if necessary.
- Once you have completed the case, the case ID will be revealed along with your scores in CTG classification and response.
The training simulator provides you with an opportunity to both train and assesses your CTG interpretation and management skills. Interpretation rules are based on RANZCOG guidelines and assessment incorporates both independent expert and INFANT™ technology (please click here if you would like to know more about INFANT™).
At the end of the case, feedback is provided in the form of percentage agreement with the clinical experts (who independently interpret each case) and INFANT™ for two categories:
- CTG Classification (how well you identified trace features); and
- Concern Agreement (how well you escalated concern)
CTG Feature Identification:
Management Actions:
For more information the training and assessment simulator please click on the link provided: Using the RANZCOG Training Simulator
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