A discussion concerning electronic fetal monitoring
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Abstract
So much has been written on electronic fetal monitoring (EFM) that it is legitimate to ask if there is anything new to say. This ubiquitous piece of technology has been rigorously evaluated over 20 years by randomized controlled trials (RCTs) and systematic reviews, and more recently has been the subject of an Informed Choice leaflet. Yet it is still probably the most widely used technological aid in delivery suites across the country, despite the conclusion of Thacker et al (1996) that 'the use of routine EFM has no measurable impact on morbidity and mortality'. It is timely to attempt an overview of the debate because the gap between evidence and practice is still significant. There is a plethora of study days, books and now software packages all purporting to improve the clinician's interpretation of EFM to the explicit end of reducing perinatal mortality and morbidity.
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