Tag: fetal monitoring

Continuing the electronic fetal monitoring debate

“Four centuries ago, the Catholic Church declared heliocentrism to be heretical, banned all heliocentric books, and ordered Galileo to refrain from holding, teaching, or defending heliocentric ideas. A similar effort is taking place today. It seeks to suppress debate over…

Pinard Wisdom (part 2)

Over the years, I have been repeatedly asked by student midwives for a reference to an article that gives basic information on how to use a Pinard to listen to a baby’s heartbeat, either to supplement learning in practice, or…

Pinard Wisdom (part 1)

Over the years, I have been repeatedly asked by student midwives for a reference to an article that gives basic information on how to use a Pinard to listen to a baby’s heartbeat, either to supplement learning in practice, or…

Fetal monitoring and cherry picking evidence…

Two senior doctors have written to the British Medical Journal to commend them for publishing a recent debate which highlights the way “in which the doctors supporting monitoring seem to cherry pick evidence” (Bewley and Braillon 2018). During this debate,…

The undiscussed cost of electronic fetal monitoring…

“In randomised clinical trials comparing electronic monitoring with intermittent auscultation, electronic monitoring increased the risk of caesarean by 63% (relative risk=1.63, 95% confidence interval 1.29 to 2.07). This suggests that, if electronic monitoring had not been used in those 620…

Midwives matter more than monitors

I had only been a midwifery student for a few months when I first heard the late, great Marsden Wagner speak about the lack of evidence for electronic fetal heart monitoring (EFM). At the time, he told us, more than…

EFM and conflicts of interest

“So the question is why would the BRPOs* of the world ignore obvious evidence of EFM harm, ignore informed consent, ignore the violation of mothers’ bioethical autonomy, and ignore the reality that most of the birth profession is lying daily…

Discussing intermittant auscultation…

Today, I want to share an open access article on intermittent auscultation which I found really interesting, and I rather suspect that many readers of this blog will too, because the problem that the researcher’s work addresses is one common…