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Evid Based Nurs doi:10.1136/ebnurs-2012-100697
  • Midwifery
  • Systematic review

Cochrane review finds that use of cardiotocograph on admission to the labour ward, rather than intermittent auscultation of the fetal heart rate, may increase risk of caesarean in low-risk women

  1. Kleanthi Gourounti
  1. Department of Midwifery, Technological Educational Institution, Athens, Greece
  1. Correspondence to Kleanthi Gourounti
    Department of Midwifery, Technological Educational Institution, Ag Spyridonos Athens 12210, Greece; clairegourounti{at}yahoo.gr

Commentary on: Devane D, Lalor JG, Daly S, et al. Cardiotocography versus intermittent auscultation of fetal heart on admission to labour ward for assessment of fetal wellbeing. Cochrane Database Syst Rev 2012;2:CD005122.

Implications for practice and research

  • ■ Healthcare professionals should inform women with low obstetric risk factors that intrapartum admission cardiotocography (CTG) increases the likelihood of caesarean section (CS) with no evidence for neonatal benefit.

  • ■ Future trials with adequate power to detect an impact on perinatal mortality are needed.

  • ■ The effect of admission CTG on holistic-oriented outcomes (eg, women's labour satisfaction) should be explored.

Context

Admission CTG is a short, usually 20-min, recording of the fetal heart rate immediately after admission to the labour ward that aims …

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