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
- Department of Midwifery, Technological Educational Institution, Athens, Greece
- Correspondence to Kleanthi Gourounti
Department of Midwifery, Technological Educational Institution, Ag Spyridonos Athens 12210, Greece;
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.
Admission CTG is a short, usually 20-min, recording of the fetal heart rate immediately after admission to the labour ward that aims …