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Electronic Fetal Monitoring, Cerebral Palsy, and Caesarean Section: Assumptions Versus Evidence

Nelson, Karin B.; Sartwelle, Thomas P.; Rouse, Dwight J.

Obstetrical & Gynecological Survey: April 2017 - Volume 72 - Issue 4 - p 207–209
doi: 10.1097/01.ogx.0000515490.96524.62
Obstetrics: Management of Labor, Delivery, and the Puerperium

(Abstracted from BMJ 2016;355:i6405)

The ever-increasing rate of cesarean delivery may be attributed to a large extent to the extensive use of electronic fetal monitoring (EFM). Initial introduction of EFM was done to enable early identification of fetal asphyxia, thereby preventing mortality or long-term neurological morbidity, particularly cerebral palsy.

National Institute of Neurological Disorders and Stroke, Bethesda, MD (K.B.N.); Deans and Lyons, Houston, TX (T.P.S.); and Women and Infants’ Hospital of Rhode Island and Brown University, Providence, RI (D.J.R.)

Topics: electronic fetal monitoring, cerebral palsy, cesarean section, neurological morbidity, litigation.

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