Cardiotocography

Cardiotocography (CTG) is the gold standard for fetal monitoring in both low- and high-risk pregnancies during late gestation. It helps in evaluating fetal well-being and is believed to contribute to reducing the risk of stillbirth.

This method is:

Non-invasive, safe, and well-tolerated by most pregnant women.
Highly informative, allowing specialists to assess fetal health accurately.
Practically without contraindications, making it suitable for most pregnancies.

How is CTG Performed?

In some cases, due to the risk of compression of the inferior vena cava, the recording may need to be performed with the pregnant woman in a left lateral position.

CTG is performed at different gestational stages depending on the risk level:

- In low-risk pregnancies:
  - From 32 weeks of gestation (w.g.), once every 2 weeks (or more frequently if needed) until 37 weeks.
  - After 37 weeks, CTG monitoring continues weekly until delivery.
- In high-risk pregnancies (e.g., hypertension, preeclampsia, diabetes, intrauterine growth restriction):
  - CTG typically starts at 30 weeks (or earlier if necessary), performed weekly or more frequently if indicated.
  - In cases where the fetus has a structural abnormality diagnosed prenatally, requiring intensive neonatal care after birth, CTG can be performed at any gestational age with a viable fetus.
  - CTG is an essential component of the fetal biophysical profile (BPP) and may be recommended by your obstetrician-gynecologist as part of routine fetal monitoring.

Comprehensive Fetal Monitoring

At Plodnost Hospital, we offer a full range of prenatal tests to ensure a thorough in-utero assessment of fetal well-being, including:

Indirect cardiotocography (CTG) with uterine contraction recording (Non-Stress Test – NST).
Basic and extended biophysical profile (BPP).
Doppler ultrasound for fetal blood flow evaluation.

The type and frequency of fetal monitoring is determined by your obstetrician-gynecologist. All examinations are conducted in a comfortable environment, using high-quality medical equipment, and performed by highly qualified obstetricians and gynecologists.

For more information or to schedule a CTG test, please consult your doctor or contact the hospital reception.