The undiscussed cost of electronic fetal monitoring…

2200500024_e93db99b61“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 620 000 women, 240,000 fewer of them would have had caesarean deliveries.”

– Nelson et al (2016)

Nelson K, Sartwell T and Rouse D (2016). Electronic fetal monitoring, cerebral palsy, and caesarean section: assumptions versus evidence. BMJ 2016;355:i6405 doi: 10.1136/bmj.i6405
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