Hong Kong Journal of Gynaecology Obstetrics and Midwifery

Volume 1 Number 2, December 2000

Review on Electronic Fetal Heart Rate Monitoring

Sambit MUKHOPADHYAY MD, DNB, MRCOG Associate Specialist,
Department of Obstetrics & Gynaecology, Derby City General Hospital, Uttoxeter Road, UK.
Sabratnam ARULKUMARAN MD, PhD, FRCOG Professor and Head of Division,
School of Human Development, Clinical Sciences Building, Derby City General Hospital, Uttoxeter Road DERBY, DE22 3NE, UK.

Electronic Fetal Monitoring was introduced in clinical practice without proper randomised trials and since then it is widely employed as a method for surveillance of fetuses at risk of hypoxia during antenatal and intrapartum period. Failure to recognise cardiotocographic abnormalities and delay in communication and timely action or combination of these can lead to poor outcome. In the presence of abnormal trace the clinical picture should be incorporated. Continuing education may improve interpretation of cardiotocograph. Despite high false positive rate in detection of fetuses at risk and increased caesarean section since its introduction, electronic fetal heart rate monitoring continues to be the main means of monitoring of fetuses at risk of hypoxia. (HKJGOM 2000 ; 1 : 106 - 112)

Keywords : electronic fetal heart rate monitoring

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