Impact of continuous electronic fetal monitoring on birth outcomes in low-risk pregnancies

Birth
Lisa Heelan-FancherSuzanne Leveille

Abstract

Continuous electronic fetal monitoring (CEFM) is a standard of hospital care during the intrapartum period. We investigated its use on childbirth outcomes in low-risk pregnancies, and examined whether outcomes differed by gestational age within a term pregnancy. A retrospective secondary data analysis using birth registry data from two diverse northeastern US states from 1992 to 2014. Chi-square test and the Fisher exact tests were used to examine associations between CEFM and childbirth outcomes. Multivariable Poisson regression models were used to estimate risk ratios of childbirth outcomes related to CEFM use, adjusting for potential confounders. Use of CEFM was independently associated with a 10% (State 1) and 40% (State 2) increased risk for primary cesarean delivery and an increased risk for assisted vaginal births (14% and 24%, respectively) after adjustment for confounders. CEFM use was not associated with reduced risk for infant mortality (neonatal mortality, 0-27 days, and post-neonatal mortality, 28-364 days) in term births (37-41 weeks' gestation). After stratifying term pregnancies into early term, full term, and late term, use of CEFM was associated with reduced risk for neonatal mortality in early-term births (37...Continue Reading

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Citations

Sep 12, 2020·World Journal of Clinical Cases·Jin-Guang WangJian Shen
Jul 26, 2021·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Melissa McIntire Sherrod
Aug 14, 2021·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Lisa Heelan-Fancher, Joyce K Edmonds

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