By keeping continuous track of the fetal heart rate during labor, cardiotocography (CTG), also known as electronic fetal monitoring, was supposed to prevent brain injury due to inadequate oxygenation and reduce emergent deliveries for suspected distress. This presentation will lay out the evidence documenting its failure to deliver on either count along with the reasons why its use persists despite this. In addition it will recommend evidence-based and “good practice” strategies during labor for minimizing the likelihood of nonreassuring fetal heart rate as well as optimal fetal monitoring practices for low- and at-risk women.
Learning Objectives:
Objective 1: refute common rationales for continued use of continuous EFM and its supplementary techniques and strategies Objective 2:describe the disadvantages and harms of routine continuous EFM and its supplementary techniques and strategies Objective 3: explain what drives continued use of continuous EFM and its supplementary techniques and strategies
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