Flashcard · Intrapartum Maternal and Fetal Monitoring
What does the DR C BRAVADO mnemonic stand for in CTG interpretation?
Answer
DR C BRAVADO structures CTG interpretation:
- DR - Define Risk (the clinical context)
- C - Contractions
- BRA - Baseline RAte
- V - Variability
- A - Accelerations
- D - Decelerations
- O - Overall impression (reassuring / non-reassuring / abnormal)
Clinical relevance. DR C BRAVADO provides a systematic, reproducible way to interpret every CTG and reach an overall classification.
More Detail
The DR C BRAVADO mnemonic
A systematic approach ensures no CTG feature is missed.
The components
- DR - Define Risk - consider the clinical context (the indication for the CTG and any risk factors), which informs interpretation.
- C - Contractions - frequency, duration and strength (e.g. number in 10 minutes).
- BRA - Baseline RAte - normal 110-160 bpm.
- V - Variability - normal 5-25 bpm.
- A - Accelerations - present/absent (presence is reassuring).
- D - Decelerations - type (early/variable/late/prolonged) and significance.
- O - Overall impression - classify the trace as reassuring (normal), non-reassuring (suspicious), or abnormal (pathological), and decide on management.
Use
Working through DR C BRAVADO every time gives a structured, reproducible interpretation and a clear overall classification that drives management.
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