Nurse’s Roles in Intrapartum Fetal Surveillance Using the Continuous Cardiotocography


  • Jareesri Kunsiripunyo, Ph.D. Faculty of Nursing, Western University Kanchanaburi


Nurse’s roles, Intrapartum fetal surveillance, Continuous cardiotocography


Nursing care during intrapartum period was from onset until fully dilatation. This period is a very important and take a long time for mothers and babies. The normal progress of labor depends on many factors. In this period, the risk and emergencies often occur every minute, especially fetal distress condition that could lead to fetal hypoxia and stillbirth. Intrapartum fetal surveillance is a vital task and challenging for labor nurses. Intermittent auscultation (IA) is a popular and effective method to assess fetal well being. At the present, variant technologies are used for intrapartum fetal surveillance. For example, continuous cardiotocography (CTG) is used in labor room because it is easy and convenient way to get results. However, nurses must have experiences and skills for CTG. Labor nurses who care for intrapartum period clients closely have to adjust and learn how to use CTG and interpret the results for risk assessment, surveillance, emergency diagnosis, provide emergencies nursing care, and coordinate with health team in order to keep mothers and babies’ safe delivery.


คณะอนุกรรมการฝ่ายวิชาการ พ.ศ. 2558-2559 สมาคมเวชศาสตร์ปริกำเนิดแห่งประเทศไทย. (2559). การบริบาลปริกำเนิด: จากทฤษฎีสู่ปฏิบัติ. กรุงเทพฯ: ยูเนี่ยน ครีเอชั่น.

ไพรินทร์ สุคนธ์ตระกูล. (2559). ความก้าวหน้าของการคลอดกับบทบาทพยาบาลผดุงครรภ์. วารสารพยาบาลทหารบก, 17(2), 1-6.

วรุณสิริ หงส์ลดารมภ์, และสุพัตรา ศิริโชติยะกุล. (2554). Fetal surveillance. สืบค้นจาก

Alfirevic, Z., Devane, D., Gyte, G. M. L., & Cuthbert, A. (2017). Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Retrieved from

Edmonds, J. K., & Jones, E. J. (2013). Intrapartum nurses’ perceived influence on delivery mode decisions and outcomes. Journal of Obstetric, Gynecologic & Neonatal Nursing, 42(1), 3-11.

Nursing management during labor and birth. (n.d.). Retrieved from

Pinas, A., & Chandraharan, E. (2016). Continuous cardiotocography during labour: Analysis, classification and management. Best Practice & Research, Clinical Obstetrics & Gynaecology, 30, 33-47.

Robin, E. W. (2018). Normal fetal heart rate during pregnancy. Retrieved from

Schneider, K. T. M. (2014). Guideline on the use of CTG during pregnancy and labor. Retrieved from

The Healthline Editorial Team. (2018). Fetal heart monitoring: What’s normal, what’s not?. Retrieved from

World Health Organization. (2018). WHO recommendation on duration of the first stage of labour. Retrieved from




How to Cite

Kunsiripunyo, J. (2019). Nurse’s Roles in Intrapartum Fetal Surveillance Using the Continuous Cardiotocography. Journal of Phrapokklao Nursing College, Chanthaburi, 30(1), 226–238. Retrieved from



Academic Article (บทความวิชาการ)