Intended for healthcare professionals

Rapid response to:

Clinical Review

Recent developments in obstetrics

BMJ 2003; 327 doi: (Published 11 September 2003) Cite this as: BMJ 2003;327:604

Rapid Response:

Reference please

Professor Shennan states, "A recent randomised controlled trial
comparing this with Doppler auscultation has shown that cardiotocograms
result in a notable increase in intervention, including oxytocin
augmentation and use of epidurals, and cause an increase in operative
deliveries without any evidence of improvement in the wellbeing of the
newborn. Given the number of women involved in this intervention,
withdrawing the routine use of the cardiotocogram on admission is likely
to reduce unnecessary intervention considerably."

The article is generally
well referenced and I would be grateful for a reference of the published
trial referred to above.

David Hutchon

Competing interests:  
None declared

Competing interests: No competing interests

16 September 2003
David JR Hutchon
Consultant Obstetrician and Gynaecologist
Darlington Memorial Hospital DL3 6HX