Is the fetus fit for labor?: A physiological approach to CTG interpretation

Is the fetus fit for labor?

Transform your understanding of fetal monitoring and intrapartum care. Learn how to interpret CTG with confidence using a physiology-based approach rooted in scientific evidence and clinical experience.

This book is dedicated to all doctors and midwives using cardiotocography (CTG) to support women during pregnancy and labor. There’s a science behind every fetal heart rate —and now you can master it. Whether you are new to obstetrics or an experienced clinician, this essential guide offers a structured, evidence-based approach to understanding the complex interplay of fetal physiology and CTG interpretation.

Most fetuses cope with the journey of labor and are born in good condition. It is when the fetal reserves are low, or when the journey of labor is too long, that the fetus may exhaust its compensation mechanisms and intervention is needed. This book will help you to understand a fetus that is well and responding to the normal hypoxic stress of labor from the one that needs your intervention to avoid brain damage. It will master your knowledge and confidence in decision making to avoid unnecessary cesarean sections and, at the same time, avoid babies under your care going to the neonatal unit for cooling therapy.

Inside the pages of this book, you’ll find:

A clear introduction to the core principles of physiological CTG interpretation In-depth exploration of fetal circulation, oxygenation, and defense mechanisms A breakdown of fetal heart rate regulation and the autonomic nervous system Practical tools for distinguishing between different types of hypoxia Insights into ST analysis, fetal ECG, and modern monitoring techniques Decision-making frameworks and real-world clinical guidelines A comprehensive look at alternative pathways of fetal compromise, including chorioamnionitis and fetal anemia Assessment tools for evaluating the newborn post-delivery Backed by years of experience and international recognition, Dr. Susana Pereira combines science, clinical practice, and education to create a book that’s both accessible and profoundly informative. Featuring detailed traces, physiological models, and a step-by-step approach to interpretation, this is more than a book—it’s a clinical companion for safer, more confident decision-making during labor.

Whether you're preparing for your next shift or training the next generation, this volume is an invaluable addition to every maternity library.