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MRCOG Academy Obstetrics & Gynaecology
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Independent educational resource. Not affiliated with or endorsed by the Royal College of Obstetricians and Gynaecologists.

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Interpretation of Intrapartum CTG

A systematic approach to fetal monitoring: classification, escalation and the decisions examiners expect you to justify, taught by a consultant obstetrician who has sat on the Part 3 examining panel.

18Lessons
3h 40mTotal duration
Part 2 · 3Exam level
Mar 2026Last updated
What you'll learn

Learning outcomes

Classify intrapartum CTG traces using a standardised, reproducible framework

Recognise and escalate suspicious and pathological trace features appropriately

Justify a management plan clearly and concisely under exam-style time pressure

Apply fetal blood sampling and second-line surveillance criteria correctly

Communicate CTG findings within a structured multidisciplinary handover

Avoid the trace-interpretation errors examiners most frequently penalise

Course overview

What's covered

This course builds the interpretation skill from first principles rather than handing you a checklist to memorise. You will start with the physiology behind the trace — why baseline rate, variability and reactivity behave the way they do — before moving into the four-category classification framework used throughout the modern curriculum.

From there, the course works through escalation: when a suspicious trace becomes pathological, what second-line tests actually add, and how to communicate a management decision the way an examiner expects to hear it. The final module is built entirely around exam technique, including a timed mock station so you can rehearse the format under realistic time pressure before you sit it for real.

Who this course is for

Trainees preparing for Part 2 written questions on intrapartum care, and Part 3 candidates who need to defend a CTG-based management decision fluently in a simulated station.

Curriculum

Course content

18 lessons across five modules. Your last completed lesson is Baseline rate and variability.

1 Foundations of Fetal Monitoring 4 lessons · 46 min
2 Classifying the Trace 4 lessons · 44 min
3 Escalation and Second-Line Tests 4 lessons · 46 min
4 Operative and High-Risk Scenarios 3 lessons · 42 min
5 Exam Technique and Mock Stations 3 lessons · 42 min · Unlocks after Module 4
  • Structured viva approach to trace questions 14 min
  • Common examiner traps and how to avoid them 14 min
  • Timed mock station: CTG interpretation 14 min
Candidate feedback

What candidates say about this course

★★★★★
The escalation module finally made the difference between knowing a trace was abnormal and being able to say, out loud, exactly what I would do next.
Dr Jonas Berger ST5 · Preparing for Part 3
★★★★★
I watched the classification workshop three times before it clicked. Worth it on its own — the mock station at the end tied everything together.
Dr Ngozi Okoro ST4 · Preparing for Part 2
Keep practising

Related question bank topics

Turn what you've just watched into practice: these topics draw directly from this course.

Questions

Frequently asked questions

Is this course included in my subscription?

Yes. Interpretation of Intrapartum CTG is a core course and is included with every subscription duration — 1, 3, 6 and 12 months all unlock it in exactly the same way.

Do I need to complete the modules in order?

Modules 1 to 4 can be watched in any order. Module 5, the exam technique and mock station module, unlocks once Module 4 is complete, so that the timed station reflects everything covered beforehand.

Can I download the resources for offline use?

Yes. All four downloadable resources are available from the course player for the duration of your active subscription.

Is this course useful for Part 3 as well as Part 2?

Yes. While the core content maps most closely to Part 2 written questions, the final module is built specifically around defending a CTG-based management decision in a Part 3 station format.