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Evidence Library · Monitoring

Intermittent listening as an alternative

It exists, it is evidence based, and it is rarely offered.

Listening at intervals with a handheld doppler instead of continuous straps produced no more deaths or cerebral palsy in the trials, and fewer cesareans, at the cost of more newborn seizures. It requires one-to-one nursing, which many units cannot staff. That is an honest reason to decline it. "This is just how we do it here" is not.

Where this comes from:
179. Alfirevic Z, Devane D, Gyte GML, Cuthbert A. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database Syst Rev. 2017;(2):CD006066.

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