Intact neurological survival after emergency caesarean delivery for pathological fetal heart rate tracings at term- is it time to rethink ‘fetal distress’ interpretation of cardiotocography in South African cerebral palsy lawsuits?

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dc.contributor.advisorGebhardt, Gabriel Stephanusen_ZA
dc.contributor.authorVan Rooyen, Donéeen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. Obstetrics and Gynaecology.en_ZA
dc.date.accessioned2024-02-20T08:43:47Zen_ZA
dc.date.accessioned2023-03-07T07:34:39Zen_ZA
dc.date.available2024-02-20T08:43:47Zen_ZA
dc.date.available2023-03-07T07:34:39Zen_ZA
dc.date.issued2023-03en_ZA
dc.descriptionThesis (MMed) -- Stellenbosch University, 2023.en_ZA
dc.description.abstractENGLISH ABSTRACT: Objective: The aim of this descriptive study was to critically review the CTG tracings that informed the decision to do an urgent Caesarean delivery (CD) in cases where there was a good neonatal outcome. Method: This was an observational cross-sectional study using data collected from records at Tygerberg Academic Hospital reviewing women >36 weeks gestation who delivered by emergency caesarean section with the indication of “fetal distress” or “pathological CTG” and had normal neonatal outcomes. Results: The mean time from decision to do a CS to the delivery of the baby was 113 minutes and the mean time from the removal of the CTG from the patient (or the last CTG available to review in the folder) to the start of surgery was 46 minutes. The mean duration of abnormal tracings (from diagnosis to recovery or last CTG taken if there was ongoing abnormal CTG) was 72 minutes, ranging from 30 to 355 minutes. Eighty percent of women still had pathological changes on the CTG at the time of transport to theatre. Conclusion: This audit showed that in most babies with pathological CTG tracings, neither prolonged periods of abnormal tracing nor delays in delivery necessarily leads to a bad outcome. In litigation cases for term hypoxic brain injury, there are other underlying conditions of the fetus and mother that needs to be considered and not only a focus on CTG interpretation and management, before negligence is inferred.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Geen opsomming beskikbaar.af_ZA
dc.description.versionMastersen_ZA
dc.format.extent36 pagesen_ZA
dc.identifier.urihttps://scholar.sun.ac.za/handle/10019.1/129357en_ZA
dc.language.isoenen_ZA
dc.publisherStellenbosch : Stellenbosch University,en_ZA
dc.rights.holderStellenbosch Universityen_ZA
dc.subject.lcshObstetrical emergencies -- South Africaen_ZA
dc.subject.lcshCesarean section -- South Africaen_ZA
dc.subject.lcshFetal heart rate monitoring -- South Africaen_ZA
dc.subject.lcshFetal heart -- Ultrasonic imaging -- South Africaen_ZA
dc.subject.lcshCerebral palsy -- South Africaen_ZA
dc.titleIntact neurological survival after emergency caesarean delivery for pathological fetal heart rate tracings at term- is it time to rethink ‘fetal distress’ interpretation of cardiotocography in South African cerebral palsy lawsuits?en_ZA
dc.typeThesisen_ZA
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