This is a great reference. Thanks for passing it on Bec. Joy -----Original Message----- From: Clinical Learning Coordinator [SMTP:[EMAIL PROTECTED]] Sent: Friday, October 19, 2001 10:39 AM To: '[EMAIL PROTECTED]' Subject: Admission CTG's
Dear List There was a question posed a few weeks ago about routine admission CTG's and their effects. I've been trying to dig up the article on this and now I have it so I hope it is not too late for the midwife who was after the information. It is: Mires, G., Williams, F. & Howie, P. (2001), "Randomised controlled trial of Cardiotocography versus Doppler auscultation of fetal heart at admission in labour in low risk obstetric population", BMJ, 322: 1457-1462. The conclusion states: "There were no significant differences in the incidence of metabolic acidosis or any other measure of neonatal outcome among women who remained at low risk when they were admitted in labour. However, compared with women who received doppler auscultation, women who had admission CTG were significantly more likely to have continuous fetal heart rate monitoring in labour, augmentation of labour, epidural analgesia, and operative delivery. Compared with doppler auscultation of the fetal heart, admission CTG does not benefit neonatal outcomes in low risk women. It's use results in increased obstetric intervention, including operative delivery." (p1457) Hope this is of some benefit. Cheers Bec Clinical Learning Coordinators Trevor Cresp (pager 4287) Rebecca Smith (pager 4304) Michelle Unetta (pager 4428) -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
