To improve professional levels of knowledge and confidence in the area of fetal surveillance, thereby reducing the risks of adverse perinatal outcomes.
By using standardised and targeted education of the highest clinical quality.
By using evidence based contents that focus on the underlying fetal pathophysiology.
By addressing the appropriate use and interpretation of fetal surveillance including intermittent auscultation, continuous electronic fetal monitoring and fetal Dopplers
By incorporating the RANZCOG Intrapartum Fetal Surveillance Clinical Guideline
Relevance to General Practice
Inadequate or inappropriate intrapartum fetal surveillance was a common feature of adverse obstetric outcomes in Victoria and the expectation was that targeted education could rectify this. The RANZCOG IFS guidelines state that health professionals providing birthing services should be adequately skilled in fetal surveillance, and should also be provided with regular training to ensure maintenance of competence. The Fetal Health Surveillance: Antepartum and Intrapartum Consensus Guideline put out by the Society of Obstetricians and Gynaecologists of Canada. In a study undertaken by Beaves, Jenkins and Wallace, it was found that of 58 hospitals surveyed in Victoria, almost all believed that formal education in fetal surveillance should be compulsory. 20% of the participants taking part in this survey were GPs. The survey identified a lack of focused fetal surveillance education, with only a third of all public hospitals in Victoria offeringformal education in this area.
- Appreciate the importance of a comprehensive knowledge of fetal physiology
- Improved knowledge of the physiological genesis of the fetal heart rate and its patterns, as pertaining to the CTG.
- Improved ability and confidence in interpreting and responding appropriately to antenatal and intrapartum CTGs, using a physiological approach
- Improved awareness of the resources available to assist in CTG interpretation and management
- Discuss the importance of implementing of an ongoing, multidisciplinary review of intrapartum CTGs in their healthcare facility
Domains of General Practice
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensions
Curriculum Contextual Units