PMID: 6991659Jul 1, 1980Paper

Pediatric follow-up of a randomized controlled trial of intrapartum fetal monitoring techniques

The Journal of Pediatrics
S LangendoerferW van Doorninck

Abstract

A controlled prospective study was conducted to evaluate possible effects of the use of three intrapartum fetal monitoring techniques on the offspring of high-risk mothers in labor after at least 34 weeks' gestation. Six hundred and ninety women were randomly assigned to one of the three monitoring groups: auscultation alone, electronic monitoring alone, and electronic monitoring with option to obtain fetal scalp pH. There were no significant differences among the three groups of offspring with respect to neonatal mortality or morbidity, Apgar scores, cord blood gas values, or Brazelton examinations at ages 2 to 3 days. Assessment of the infants at 9 months revealed no significant differences in their growth and development as assessed by physical examination. Bayley Scales of Infant Development, and Milani-Comparetti tests. The frequency of delivery by cesarean section was significantly higher in the electronically monitored group than in the auscultated group. This study failed to show beneficial effects of electronic fetal monitoring over auscultated monitoring for high-risk but relatively mature fetuses.

References

Aug 17, 1978·The New England Journal of Medicine·R R NeutraE A Friedman
Jan 1, 1977·Journal of Abnormal Child Psychology·H AlsT B Brazelton
Oct 1, 1971·The Journal of Obstetrics and Gynaecology of the British Commonwealth·R W BeardS G Clayton

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Citations

Jan 1, 1983·Archives of Gynecology·R RudelstorferH Janisch
Jan 1, 1985·International Journal of Clinical Monitoring and Computing·E D Robin
May 1, 1997·The Australian & New Zealand Journal of Obstetrics & Gynaecology·M T GillesJ Newnham
Jan 1, 1983·Journal of Perinatal Medicine·P HolmqvistI Ingemarsson
Jan 12, 2008·Journal de gynécologie, obstétrique et biologie de la reproduction·F BretelleC Foulhy
May 9, 2014·Acta Obstetricia Et Gynecologica Scandinavica·Jan S Jørgensen, Tom Weber
Sep 1, 1994·Baillière's Clinical Obstetrics and Gynaecology·E Hamilton, E K Kimanani
Jan 5, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Gulseren DaglarBurcu Yurtsal
Jul 20, 2007·The Cochrane Database of Systematic Reviews·S B ThackerM Chang
Feb 6, 2017·The Cochrane Database of Systematic Reviews·Zarko AlfirevicAnna Cuthbert
May 1, 1991·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Guay
Mar 1, 1990·The New England Journal of Medicine·R Freeman
Mar 1, 1995·Seminars in Pediatric Neurology·R Depp

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