Pregnancy Monitoring
Healthway service

Cardiotocography / CTG in Malta

Pregnancy monitoring with appropriate obstetric assessment

Fetal heart-rate recordingA trace shows how the baby's heart rate varies over the monitoring period.
Uterine-activity recordingAn external sensor records the timing of uterine activity alongside the heart-rate trace.
Clinical interpretationThe recording is assessed together with symptoms, gestational age and the pregnancy history, with escalation when necessary.

Cardiotocography, commonly called CTG, records the baby's heart rate and uterine activity during pregnancy. Healthway Medical Centre offers assessment for CTG in Malta when clinically appropriate. The reason for monitoring, gestational age and wider obstetric situation determine whether an outpatient appointment is suitable or direct maternity assessment is needed.

When CTG may be considered

A maternity clinician may recommend monitoring for a particular clinical concern or as part of an established pregnancy care plan. CTG is not automatically needed in every uncomplicated pregnancy. Before an appointment, the doctor reviews the indication and whether additional assessment should take place in a maternity unit.

What the examination involves

External sensors are placed on the abdomen and usually held with soft belts. The recording takes place while you rest in an appropriate position. Monitoring may need to continue longer if the trace is incomplete or further assessment is required. The team explains the process and discusses the findings and next steps.

What CTG can and cannot show

CTG provides information about fetal heart-rate patterns and uterine activity during the recording. It does not replace ultrasound, routine antenatal care or a complete obstetric assessment, and it cannot exclude every problem. A reassuring trace at one point does not mean new or continuing symptoms should be ignored.

Contact your maternity team immediately for concerns

Reduced or changed fetal movements, vaginal bleeding, suspected fluid leakage, significant abdominal pain or other urgent pregnancy symptoms require immediate advice from your maternity team or emergency assessment. Do not wait for a routine Healthway appointment. If movements remain reduced or concerns recur after a reassuring assessment, contact the maternity team again.

Important

Healthway CTG appointments do not replace maternity triage or emergency obstetric care. Any concerning trace or clinical finding requires timely obstetric assessment and appropriate escalation.
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