Anyone know what pathological Ctg refers to?

Likethestarsabove547 · 2023-05-19T08:10:37+00:00

Hoping someone knows, Dr Google isn't overly helpful but a lot of it is all medical jargon that I don't understand Tia x

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Moonlightsonatas · 19/05/2023 09:12

It means that it isn’t what would be expected from a “ normal” CTG. It doesn’t always mean that there is something to worry about.

ToBeOrNotToBee · 19/05/2023 09:14

It means the trace of the baby's heart rate would indicate the baby is struggling and would need to be delivered ASAP before the baby dies.

Miscellaneousme · 19/05/2023 09:16

https://www.nice.org.uk/guidance/ng229/resources/fetal-monitoring-in-labour-pdf-66143844065221

Essentially a high level of concern for the well-being of the baby, warranting urgent review / action.

https://www.nice.org.uk/guidance/ng229/resources/fetal-monitoring-in-labour-pdf-66143844065221

Original poster

Likethestarsabove547 · 19/05/2023 09:19

Thankyou all. Just found my notes and it says

Abnormal CTG
Fetal Bradycardia
Pathological CTG

All in the same box and in that order.

OP posts:

Mangotime · 19/05/2023 09:21

Is it a stamp? Or a sticker? A tick box toe thing potentially?

Original poster

Likethestarsabove547 · 19/05/2023 09:22

Moonlightsonatas · 19/05/2023 09:12

It means that it isn’t what would be expected from a “ normal” CTG. It doesn’t always mean that there is something to worry about.

This is basically what was I expected but hearing someone else say it out loud and not just my internal dialogue was surprisingly upsetting (not blaming you I actually needed to hear it)

I assume that this is the reason when I begged for a c section and not instrumental delivery it's because there wasn't time and my baby wouldn't have made it?

OP posts:

Mangotime · 19/05/2023 09:23

Contact your midwife team and ask for a birth reflections to go through your notes.
pathological CTG needs delivery of the baby asap.

Original poster

Likethestarsabove547 · 19/05/2023 09:27

Mangotime · 19/05/2023 09:21

Is it a stamp? Or a sticker? A tick box toe thing potentially?

It's under intrapartum problems in my maternity notes

OP posts:

Original poster

Likethestarsabove547 · 19/05/2023 09:36

ToBeOrNotToBee · 19/05/2023 09:14

It means the trace of the baby's heart rate would indicate the baby is struggling and would need to be delivered ASAP before the baby dies.

This is basically what was I expected but hearing someone else say it out loud and not just my internal dialogue was surprisingly upsetting (not blaming you I actually needed to hear it)

I assume that this is the reason when I begged for a c section and not instrumental delivery it's because there wasn't time and my baby wouldn't have made it?

OP posts:

ToBeOrNotToBee · 19/05/2023 09:51

Likethestarsabove547 · 19/05/2023 09:36

This is basically what was I expected but hearing someone else say it out loud and not just my internal dialogue was surprisingly upsetting (not blaming you I actually needed to hear it)

I assume that this is the reason when I begged for a c section and not instrumental delivery it's because there wasn't time and my baby wouldn't have made it?

Show quote history

Essentially yes.

If baby is in the birth canal, quickest thing is instrumental.

As horrible and brutal as they can be, sometimes they really are the best option.

I hope you and baby are OK.

Original poster

Likethestarsabove547 · 19/05/2023 10:28

@ToBeOrNotToBee
We are OK, it's been 7 months but today I feel really overwhelmed by it all. Im having to guess at why decisions were made because no one told me why. I'm also feeling guilty. I had the option of a c section due to previous 3rd degree and major pph which I needed a blood transfusion for. I opted against it because I was worried about the blood loss, I seem to bleed more than most for some reason. I thought I was healed emotionally from dc1 birth but dc2 birth proved that I am not. I did birth reflections first time and I do need to do it again but I can't gear myself up mentally to make the call.
They chose ventouse and episiotomy to deliver, I was already 10cm. I had an epidural which had failed and they were talking about resisting it then the next moment the anesthetist made a comment about baby's heartrate to the midwife saying 'you need to sort that first' queue emergency button and millions of people and them telling me they wanted to do ventouse or forceps. I didn't do a birth plan but those are literally the only things I didn't want and it still ended up that way.
I got a bit of local anesthetic for my episiotomy and it was go time.
Baby was back to back and I learnt he had the cord round his neck from my notes when I was alone in the middle of the night in the hospital with him.
I know his heartrate dropped below 60 several times and my partner remembers it being 43 at one point. They turned the monitor away and sound off and my midwifes sole job was to hold the ctg to my stomach as the consultants all took over. Baby had his own pediatric team due to potential heart defect too. I was the last person to see his face because they lay him accross my stomach facing them, I'm sure they had good reason for it. I had a doctors appointment the other day and I asked the gp that in the event I wanted anotber child how hard it would be to ask for an elective section, she said it really depends on the consultant you get and that didn't fill me with confidence. I'm nowhere near thinking of that right now and I may never do but I'm the kind of person who needs to know incase. I dont think I could go through another vaginal birth again, both times I feel like I've nearly lost my babies.

Sorry for the essay I just feel like there's something wrong with my body and I can't birth my babies safely and it makes me feel like a failure. I know so many people have had much worse and I'm lucky I have my babies.

OP posts:

ToBeOrNotToBee · 19/05/2023 12:54

Likethestarsabove547 · 19/05/2023 10:28

@ToBeOrNotToBee
We are OK, it's been 7 months but today I feel really overwhelmed by it all. Im having to guess at why decisions were made because no one told me why. I'm also feeling guilty. I had the option of a c section due to previous 3rd degree and major pph which I needed a blood transfusion for. I opted against it because I was worried about the blood loss, I seem to bleed more than most for some reason. I thought I was healed emotionally from dc1 birth but dc2 birth proved that I am not. I did birth reflections first time and I do need to do it again but I can't gear myself up mentally to make the call.
They chose ventouse and episiotomy to deliver, I was already 10cm. I had an epidural which had failed and they were talking about resisting it then the next moment the anesthetist made a comment about baby's heartrate to the midwife saying 'you need to sort that first' queue emergency button and millions of people and them telling me they wanted to do ventouse or forceps. I didn't do a birth plan but those are literally the only things I didn't want and it still ended up that way.
I got a bit of local anesthetic for my episiotomy and it was go time.
Baby was back to back and I learnt he had the cord round his neck from my notes when I was alone in the middle of the night in the hospital with him.
I know his heartrate dropped below 60 several times and my partner remembers it being 43 at one point. They turned the monitor away and sound off and my midwifes sole job was to hold the ctg to my stomach as the consultants all took over. Baby had his own pediatric team due to potential heart defect too. I was the last person to see his face because they lay him accross my stomach facing them, I'm sure they had good reason for it. I had a doctors appointment the other day and I asked the gp that in the event I wanted anotber child how hard it would be to ask for an elective section, she said it really depends on the consultant you get and that didn't fill me with confidence. I'm nowhere near thinking of that right now and I may never do but I'm the kind of person who needs to know incase. I dont think I could go through another vaginal birth again, both times I feel like I've nearly lost my babies.

Sorry for the essay I just feel like there's something wrong with my body and I can't birth my babies safely and it makes me feel like a failure. I know so many people have had much worse and I'm lucky I have my babies.

Oh Sweet.

There is nothing wrong with you or your body.

You did an amazing thing twice over.

Your body is incredible! Don't let bad luck take that away from you.

And that's all it is, bad luck. It's not your body failing, far from it, your body survived something that most of us couldn't imagine.

Be easy and kind to yourself.