Physiological CTG Masterclass with Edwin Chandraha


The NHSLA report ‘Ten Years of Maternity Claims’ has highlighted cardiotocograph (CTG) interpretation as a major source of litigation, with the main allegations focusing on the failure to recognise an abnormal CTG and act on it. Failure to refer appropriately and poor documentation were also commonly recognised in the report.


To provide evidence-based training on CTG Interpretation based on fetal physiology and pathophysiology of intrapartum hypoxic injury so as to reduce hypoxic ischaemic encephalopathy and perinatal deaths whilst reducing unnecessary operative interventions.


To understand control of fetal heart rate and the factors that affect the features observed on the Cardiotocograph (CTG)
To understand the types of intrapartum hypoxia and resultant features observed on CTG Trace
To appreciate wider clinical picture such as inflammation, infection and meconium whilst interpreting CTG Traces
To ensure rational application of National Guidelines and the role of additional tests of fetal wellbeing to optimize perinatal outcomes
To effect a paradigm shift from pattern recognition to the use of knowledge of fetal pathophysiology whilst interpreting CTG Traces

Relevant for
This exciting and hugely popular one-day course is beneficial for all midwives, obstetricians and clinical negligence lawyers who are involved in interpreting CTG traces. A basic knowledge of CTG interpretation would be beneficial, but not essential.

Faculty profile
Mr Edwin Chandraharan, MBBS MS (OBS & GYN), MRCOG, DFFP, DCRM, Lead Clinician Labour Ward, Lead for Clinical Governance in Obstetrics and Gynaecology

Edwin works as the Lead Clinician for Labour Ward at St. George’s University Hospitals NHS Foundation Trust, London and is an Honorary Senior Lecturer to St George’s University of London. He was previously the Clinical Director of Women’s Services from 2011 to 2015 and was the Lead for Clinical Governance in Obstetrics and Gynaecology from 2005-2017. He was appointed as a Visiting Professor in Obstetrics and Gynaecology at the Tianjin Central Hospital for Obstetrics and Gynaecology, Tianjin Province, China.

For more information on Edwin's professional background, visit St George's Hospital University Hospital website.

Pre-course learning

Link includes, pre-course reading materials, videos and assessments for you to review/complete before arrival.

Pre-course link:

What are my transport/parking options for getting to and from the event?
St. Thomas' Hospital is easily accessible from Westminster underground staion and Waterloo National rail station as well as local bus routes. Onsite and local parking is very limited, we would recommend travelling by public transport.
What can I bring into the event?
It is a good idea to wear layers as the temperature inside the venue fluctuates.
Bring water and snacks, there is a Marks and Spencer Food, WHSmiths and AMT coffee onsite for during break times.
Feel free to bring your laptop/device to take notes.
How can I contact the organiser with any questions?
Lianne Phipps, Practice Devleopment Midwife
Tel: 020 7188 3654 / 07944130281
Do I have to bring my printed ticket to the event?
Please bring your printed ticket with you for registration at the event.


Saturday 12 January, 08:30 AM

till Saturday 12 January 05:30 PM


St. Thomas' Hospital Nevin Lecture Theatre London GB

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