Acromed

"If the CTG trace is pathological, offer digital fetal scalp stimulation. If this leads to acceleration in fetal heart rate, only continue with fetal blood sampling if the cardiotocograph trace is still pathological.
If digital fetal scalp stimulation (during vaginal examination) leads to acceleration in fetal heart rate, regard this as a sign that the baby is healthy. Take this into account when reviewing the whole clinical picture." file:///C:/Users/emily/Downloads/Fetal-monitoring-during-labour.pdf

--------------------------------------------------
Note added at 27 mins (2022-11-09 10:39:23 GMT)
--------------------------------------------------

Sorry, the above reference is a PDF so I can't share the link but it's called "Fetal monitoring during labour" from https://www.plymouthhospitals.nhs.uk

--------------------------------------------------
Note added at 29 mins (2022-11-09 10:40:37 GMT)
--------------------------------------------------

"Vaginal examination (VE).
Two fingers are inserted into the vagina to see how much the cervix is dilating and to assess the progress of the labour." First stage of labour
Zita West SRN SCM LIC AC, ... Lyndsey Isaacs RGN BSc(Hons) MBAcC, in Acupuncture in Pregnancy and Childbirth (Second Edition), 2008

--------------------------------------------------
Note added at 3 hrs (2022-11-09 13:39:51 GMT)
--------------------------------------------------

How I understand it is that a vaginal examination was performed due to changes on the CTG which found a first-degree tear with 1000 ml blood loss