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The Evidence and Future of Intrapartum Fetal Monitoring

by Diogo Ayres-de-Campos, MD, PhD
  • Duration: 60 Mins
  • Credits: 1 CME
  • Handout: No
  • Origin: GOLD Obstetrics 2020
Abstract:

Continuous cardiotocography (CTG) remain widely used for intrapartum fetal monitoring, despite the conflicting evidence regarding the benefits of such approach when compared with intermittent auscultation. Existing evidence on this topic will be re-analysed, together with the need to improve specific aspects of the CTG technology in order to achieve the best outcomes. Central fetal monitoring and computer analysis of CTGs is also widely disseminated in industrialised countries. Existing systems will be compared with an emphasis on system characteristics and demonstrated benefit.

Learning Objectives:

Objective 1: Discuss the limitations of the existing evidence regarding the benefits and risks of cardiotocography when compared to intermittent auscultation.

Objective 2: Explain how intrapartum monitoring can be improved in order to reduce adverse outcomes.

Objective 3: List and compare the benefits and limitations of central fetal monitoring systems and of computer analysis of CTGs

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Presentations: 12  |  Hours / CE Credits:  |  Viewing Time: 8 Weeks