Letters Electronic fetal monitoring debate

Intrapartum cardiotocography and pattern recognition

BMJ 2018; 360 doi: https://doi.org/10.1136/bmj.k664 (Published 14 February 2018) Cite this as: BMJ 2018;360:k664
  1. Shashikant L Sholapurkar, obstetrician and gynaecologist
  1. Royal United Hospital, Bath BA1 3NG, UK
  1. s.sholapurkar{at}talktalk.net

Mullins and Lees debate Brocklehurst about the use of continuous fetal heart rate monitoring.1 The INFANT trial did not test cardiotocography versus intermittent or no auscultation, but rather whether decision support software could aid interpretation of cardiotocographs. The counterargument offered for the major flaw of “learning in the control group” was that some people have “intrinsic pattern recognition inability” that is not improved by training.2 But this inability cannot …

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