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.
Competing interests: No competing interests