Electronic fetal monitoring

摘要: Papers p 1457 Electronic fetal monitoring with the cardiotocograph is standard practice during labour in most obstetric units United Kingdom. The technique was introduced as a screening test 1970s belief that it would improve detection of hypoxaemia and reduce cerebral palsy perinatal mortality, particularly high risk pregnancies. Early retrospective observational studies supported view superior to intermittent auscultation using either Pinard stethoscope or hand held doppler ultrasound device.1 Its use spread rapidly from low pregnancies where fetus at least hypoxic events labour. Was this necessary wise? By 1990s systematic reviews randomised controlled trials electronic versus had shown no effect on neonatal outcomes such metabolic acidosis birth, Apgar scores admissions intensive care.2–4 An increase seizures seen group but long term neurological problems.5 Electronic did, however, …