Electronic fetal monitoring (EFM) was introduced into widespread clinical practice in the 1970-80s on the premise that it would help detect abnormal fetal heart rate patterns thought to be associated with fetal hypoxia, and thereby allow earlier intervention to prevent fetal neurological damage or death. Despite the recognised limitations of EFM, it’s use has become ubiquitous particularly in high-income countries. In this presentation, Declan will be address the evidence underpinning the use of EFM and in particular the use of cardiotocography. His presentation will focus largely on findings from Cochrane systematic reviews related to aspects of fetal monitoring including how to read and interpret forest plots, which are a common means of presenting the findings of meta analyses of the effects of interventions on outcomes. Within his talk, Declan will highlight examples of discordance between evidence, practice and practice guidelines.
Learning Objectives:
Objective 1: Outline the evidence base underpinning the effectiveness of cardiotocography for the assessment of fetal wellbeing;
Objective 2: Interpret a basic meta-analysis forest plot within a Cochrane systematic reviews;
Objective 3: Identify examples of discordance between evidence, practice and practice guidelines.
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