Does electronic fetal heart rate or CTG monitoring reduce perinatal mortality in ‘high risk’ women? Sara Wickham looks at research showing that it does not.
“EFM has become a quintessential example of the perils of adopting new medical technologies without proper study of risks and benefits,” says a Clinical Professor of Obstetrics and Gynecology.
A new paper analysing the evidence for electronic fetal monitoring shows this to be ineffective as a means of reducing cerebral palsy in sub-Saharan Africa.
Research telling the story behind some of the recent EFM debates in the medical literature and discussing the bias towards electronic fetal monitoring.
Two senior doctors commend the BMJ for publishing a debate highlighting the way “in which the doctors supporting monitoring seem to cherry pick evidence”
What is the real 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,…
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