The 2008 National Institute of Child Health and Human Development Workshop Report on Electronic Fetal Monitoring
: update on Definitions, interpretation, and research guidelines.
Vintzileos, "Electronic fetal monitoring
in the United States: temporal trends and adverse perinatal outcomes," Obstetrics & Gynecology, vol.
Taylor has expertise in obstetrical nursing and electronic fetal monitoring
Developments such as asepsis, electronic technologies (ultra-sound and electronic fetal monitoring
), hospitalisation of the woman during labour and birth, antibiotics, induction of labour of the post-term pregnancy, training and education programmes for nurses and midwives and increasing improvements in perioperative midwifery, nursing and medical skills and equipment.
Documents also highlight the importance of electronic fetal monitoring
and explore issues of life expectancy and damages for the injured infant.
The oximetry was an adjunct to continuous electronic fetal monitoring
"There's more reliance on electronic fetal monitoring
, greater acceptance of epidurals and more genetic testing before the twentieth week of pregnancy."
* Much lower rates of interventions for intended home births compared to low risk hospital births: Planned home Hospital birth birth Induction of labor (only 2.1 % * 21.0% with oxytocin prostalandins Simulation of labor (only 2.7 % * 18.9% with oxytocin electronic fetal monitoring
9.6% 84.3% Episiolomy 2.1% 33.0% Vacuum Extraction 0.6% 5.5% Cesarean Section 3.7% 19.0% * These numbers differ from the BMI article where for CPMs included form of induction and stimulation only used by midwives and not comparable to hospital births.
"In 12 prospective, randomized, controlled trials involving more than 55,000 infants worldwide, electronic fetal monitoring
appears to have little benefit with respect to perinatal mortality and long-term neurologic outcome.
Examples in obstetrics include routine shaving of the perineum before delivery, routine elective low forceps, routine episiotomy, routine electronic fetal monitoring
in labor, urinary estriol collection to monitor fetal well-being, and home uterine-activity monitoring.
We learn about the introduction of thermometers, ophthalmoscopes, laryngoscopes, stethoscopes, intravenous therapy, and electronic fetal monitoring
, as well as the critical role of nurses in the application of these and other new devices.
Thacker, The Impact of Technology Assessment and Medical Malpractice on the Diffusion of Medical Technologies: The Case of Electronic Fetal Monitoring
, in 2 MEDICAL PROFESSIONAL LIABILITY AND THE DELIVERY OF OBSTETRICAL CARE 9, 10 (Victoria P.