Henci Goer, award-winning medical writer and internationally
known speaker, is an acknowledged expert on evidence-based maternity care. Her
first book, Obstetric Myths Versus Research Realities, was a valued resource
for childbirth professionals. Its successor, Optimal Care in Childbirth: The
Case for a Physiologic Approach, has won the American College of Nurse-Midwives
“Best Book of the Year” award. Goer has also written The Thinking Woman's Guide
to a Better Birth, which gives pregnant women access to the research evidence,
as well as consumer education pamphlets and articles for trade, consumer, and
academic periodicals. Goer’s latest project is Childbirth U, a website selling
narrated slide presentations at modest cost that will help pregnant women make
informed decisions about care.
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.
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.
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