Lucas, A; BJM, Dec 2012; Interpreting cardiotocographs using soft systems methodology

Another article from Amanda Lucas, Deputy Head of Midwifery and Women’s Services/Supervisor of Midwives, Macclesfield Hospital.

Abstract:
This article in the BJM will outline and contexualise the problem of poor
cardiotocograph (CTG) interpretation within maternity services. By
applying creative thinking or a soft systems methodology to this ‘wicked’
problem, reference to other approaches will be provided and the reasons
for rejection considered. Finally, through reflection, the appropriateness
of the creative thinking approach will be critiqued and future action
recommended.

Introduction:  Within the health service it is widely acknowledged that practitioners take responsibility for the care they provide and are answerable to their own judgements and actions (Manley et al, 2011). In midwifery, the practitioner is responsible for the health and safety of both the mother and baby. During labour, women with identified potential risks to either themselves or their baby will receive continuous fetal monitoring by cardiotocograph (CTG) (National Institute for Health and Clinical Excellence (NICE), 2007).

Amanda Lucas
British Journal of Midwifery,  Vol. 20, Iss. 12, 05 Dec 2012, pp 866 – 870