NST AND CTG

NST done in antenatal period, which shows FHR acceleration with foetal movement and no uter.
contraction (Fig. 16.45).
Interpretation of a CTG tracing requires description of the following:
Baseline FHR
Beat-to-beat FHR variability
Presence of accelerations
Periodic or episodic decelerations
Changes or trends of FHR patterns over time
Uterine activity (contractions)
Normal pattern trace (Fig. 16.46):
Baseline rate 110-160 beats/min, with normal beat-to-beat
variability of 5-16 beats/min. two
more accelerations of 16 beats/min
lasting for 16 s in response to a foetal movement over a period
20 min
Absence of late or variable decelerations
Variable deceleration: deceleration is independent of uterine contraction, it
may be due to co
compression and may relieved by change in position.
Early deceleration (Fig. 16.47): deceleration coincides with uterine contraction and FHR returns i
7omal when contraction
passes off. It can be due to head compression during labour.
Late deceleration-beat to beat variability present and late deceleration present beyond uterim
contraction (Fig. 16.48).