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Surveillance during labour

Surveillance during labour The technology of intrapartum surveillance made rapid strides from the 1960s through the 1980s but then stagnated as increasing resort to caesarean section was made rather than improving measures of fetal condition and labour progress. However, despite caesarean section rates commonly over 30%, medicolegally expensive mistakes continue to be made because it is difficult to teach clinicians to make reliable use of existing technology. It may be that as with aircraft navigation, the safest solution is to replace human judgement with the obstetric equivalent of automatic pilots. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Perinatal Medicine de Gruyter

Surveillance during labour

Steer, Philip J.
Journal of Perinatal Medicine , Volume 37 (5) – Sep 1, 2009
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Publisher
de Gruyter
Copyright
©2009 by Walter de Gruyter Berlin New York
Subject
Minireviews
ISSN
0300-5577
eISSN
1619-3997
DOI
10.1515/JPM.2009.111
pmid
19673681
Publisher site
See Article on Publisher Site

Abstract

The technology of intrapartum surveillance made rapid strides from the 1960s through the 1980s but then stagnated as increasing resort to caesarean section was made rather than improving measures of fetal condition and labour progress. However, despite caesarean section rates commonly over 30%, medicolegally expensive mistakes continue to be made because it is difficult to teach clinicians to make reliable use of existing technology. It may be that as with aircraft navigation, the safest solution is to replace human judgement with the obstetric equivalent of automatic pilots.

Journal

Journal of Perinatal Medicine – de Gruyter

Published: Sep 1, 2009

Keywords: Electronic fetal heart rate monitoring (EFM); fetal blood sampling (FBS); fetal heart rate (FHR)

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