Quality research evidence demonstrates that intrapartum Cardiotocography monitoring in either low or high-risk populations fails to improve perinatal outcomes but drives harm by increasing the surgical birth rate. This evidence is not new, and obstetrics claims to be an evidence-based profession, yet there has been little interest or success in reducing the use of intrapartum CTG monitoring. This presentation draws on doctoral research which makes visible why it is so hard to align practice with evidence and challenges clinicians and leaders in our profession to rethink intrapartum fetal heart rate monitoring.
Learning Objectives:
1. Summarise evidence pertaining to intrapartum CTG monitoring
2. Identify systemic structures which support and enable the ongoing inappropriate use of intrapartum CTG monitoring
3. Identify local opportunities to influence clinical practice relating to the use of intrapartum CTG monitoring
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