Practice cases Learn CTG
all beginner intermediate advanced
Cases run #1–#50 in order. New to CTG? Filter to beginner to start with the clearest cases.
#1 Labouring at 37 weeks, maternal diabetes
intermediate 32-year-old, G1P0, 37 weeks, diet-controlled gestational diabetes. Spontaneous labour, liquor draining. Continuous CTG in progress — first stage.
#2 Post-term labour with meconium
beginner 23-year-old, G1P0, 41 weeks, spontaneous labour, meconium-stained liquor noted on ARM. Continuous CTG — first stage.
#3 Induced labour, term
intermediate 31-year-old, G1P0, 40 weeks, induction of labour (indication not specified in source data). Continuous CTG — first stage.
#4 Pre-eclampsia, induced, short second stage
advanced 28-year-old, G1P0, 38 weeks, pre-eclampsia, induction of labour. Continuous CTG — first and second stage (short, 10 min).
#5 Meconium-stained liquor, term labour
intermediate 41 weeks gestation. Risk factors: Meconium-stained liquor. Continuous CTG in labour.
#6 Prolonged first stage, term
intermediate 38 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#7 Post-term labour with meconium (2)
advanced 41 weeks gestation. Risk factors: Meconium-stained liquor. Continuous CTG in labour.
#8 Prelabour rupture of membranes, term
intermediate 39 weeks gestation. Risk factors: Prelabour rupture (liq. praecox). Continuous CTG in labour.
#9 Term labour, reduced fetal growth
intermediate 39 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#10 Term labour, low birth weight
intermediate 38 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#11 Post-term with failure to progress
advanced 42 weeks gestation. Risk factors: Failure to progress, Post-term (42 weeks). Continuous CTG in labour.
#12 Multiparous term labour
intermediate 40 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#13 Post-term induced labour
intermediate 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#14 Pre-eclampsia, early low Apgar
intermediate 37 weeks gestation. Risk factors: Pre-eclampsia. Continuous CTG in labour.
#15 Dense early deceleration cluster — reassuring outcome
advanced 40 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#16 Expert-panel 'Pathological' — reassuring true outcome
advanced 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#17 Prolonged labour with meconium
beginner 40 weeks gestation. Risk factors: Meconium-stained liquor. Continuous CTG in labour.
#18 Term induced labour
intermediate 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#19 Prolonged first stage, post-term
intermediate 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#20 Severe acidosis despite good Apgar
advanced 38 weeks gestation. Risk factors: Meconium-stained liquor. Continuous CTG in labour.
#21 Prolonged first stage, term
intermediate 40 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#22 Failure to progress, induced labour
intermediate 41 weeks gestation. Risk factors: Failure to progress. Continuous CTG in labour.
#23 Large baby, uncomplicated labour
beginner 40 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#24 Post-term, excellent outcome
intermediate 42 weeks gestation. Risk factors: Post-term (42 weeks). Continuous CTG in labour.
#25 Term labour, uncomplicated
beginner 39 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#26 Acidotic despite excellent Apgar
advanced 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#27 Short first stage, term
intermediate 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#28 Severe acidosis despite good Apgar (2)
advanced 41 weeks gestation. Risk factors: Meconium-stained liquor. Continuous CTG in labour.
#29 Grand multipara, acidotic despite perfect Apgar
advanced 40 weeks gestation. Risk factors: Grand multiparity (gravidity 5). Continuous CTG in labour.
#30 Term labour, mild acidosis
intermediate 38 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#31 Very prolonged first stage
intermediate 40 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#32 Term labour, reassuring
intermediate 40 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#33 Post-term, reassuring
intermediate 42 weeks gestation. Risk factors: Post-term (42 weeks). Continuous CTG in labour.
#34 Prolonged first stage, acidotic
advanced 39 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#35 Maternal diabetes, reassuring outcome
intermediate 40 weeks gestation. Risk factors: Maternal diabetes. Continuous CTG in labour.
#36 Breech presentation with hypertension
intermediate 39 weeks gestation. Risk factors: Breech presentation, Maternal hypertension. Continuous CTG in labour.
#37 Low 1-minute Apgar, acidotic
advanced 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#38 Reduced variability with perfect outcome
advanced 39 weeks gestation. Risk factors: Tachysystole (6/10min). Continuous CTG in labour.
#39 Term labour, reassuring
intermediate 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#40 Borderline baseline bradycardia
advanced 41 weeks gestation. Risk factors: Baseline bradycardia (~102bpm). Continuous CTG in labour.
#41 Dense deceleration count, perfect outcome
advanced 40 weeks gestation. Risk factors: Maternal hypertension. Continuous CTG in labour.
#42 Prolonged first stage, reassuring
beginner 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#43 Term labour, reassuring
beginner 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#44 Meconium, reassuring outcome
intermediate 40 weeks gestation. Risk factors: Meconium-stained liquor. Continuous CTG in labour.
#45 Prolonged labour with hypertension
intermediate 40 weeks gestation. Risk factors: Maternal hypertension. Continuous CTG in labour.
#46 Very low 1-minute Apgar, hypertension
advanced 39 weeks gestation. Risk factors: Maternal hypertension. Continuous CTG in labour.
#47 Acidotic despite good Apgar
intermediate 39 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#48 Grand multipara with tachysystole
intermediate 40 weeks gestation. Risk factors: Grand multiparity (gravidity 7, parity 7), Tachysystole (6/10min). Continuous CTG in labour.
#49 Low Apgar, very prolonged first stage
advanced 40 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
#50 Term labour, reassuring
beginner 41 weeks gestation. Risk factors: none identified. Continuous CTG in labour.
"Awaiting review" cases are locked until the author confirms the classification. "Draft" cases are usable now but based on quantitative signal analysis rather than a full clinician read — treat the model answer with appropriate caution until confirmed.
For educational use only
Not medical advice. Verify dosing against the BNF and your local trust guidelines before prescribing.
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