Cardiotocography (CTG)

Monitoring Fetal Well-Being

At Gagua Clinic, we use an enhanced cardiotocography (CTG) method during pregnancy. This advanced approach allows for a faster and more comprehensive assessment of both fetal well-being and uterine activity.

During the Examination, We Assess:

• Baseline fetal heart rate
• Presence of cardiac arrhythmias (irregular heart rhythms)
• Additional heart sounds that may indicate congenital heart abnormalities
• Fetal compensatory and adaptive capacity
• Fetal central nervous system status
• Placental functional status
• Signs of chronic fetal hypoxia (oxygen deprivation)
• Signs of post-term pregnancy
• Development of acute fetal hypoxia following stress
• Degree of umbilical cord entanglement
• Uterine tone and contractile activity

Recommended Schedule

• 28–36 weeks of pregnancy: every 2 weeks
• 36–40 weeks of pregnancy: once a week
• 40–42 weeks of pregnancy: every 2–3 days

Indications for Immediate Assessment

An urgent CTG examination is recommended in the following situations:

• Maternal health concerns (medical conditions, stress, poisoning, or other complications)
• Abnormal findings on ultrasound or Doppler examination
• Significant changes in fetal movements, including a noticeable decrease or increase

At Gagua Clinic, cardiotocography is performed by experienced specialists using modern equipment to ensure continuous monitoring of fetal well-being and timely clinical decision-making throughout pregnancy.