Using telemedicine to facilitate training in cardiotocography (CTG) interpretation

Electronic fetal monitoring is a controversial practice in modern obstetric care and is frequently an aspect of medicolegal cases involving the manage ment of labour and delivery. The interpretation of the cardiotocograph (CTC ) produced by such monitors is a skill required by those caring for the pre gnant woman. Studies have shown that most 'experts' do not interpret CTGs i n a consistent manner, when compared with either other experts or themselve s. However, it has also been shown that consistency can be improved with tr aining. Telemedicine has been used to advantage in the training of obstetri cs and gynaecology registrars in CTG interpretation.