Episode 48 Fetal Heart Monitoring Part 2

Why do we want to monitor the baby's heart beat in labour? what are the advantages or disadvantages of listening intermittently over continuous Cardiotocograph (CTG)?
Monty Python Hospital sketch https://www.youtube.com/watch?v=arCITMfxvEc
Evidence to consider:
https://www.cochrane.org/CD006066/PREG_continuous-cardiotocography-ctg-form-electronic-fetal-monitoring-efm-fetal-assessment-during-labour overview
https://www.bmj.com/content/359/bmj.j5423/rr-5 overview
https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.15535  computerised CTG
Improving how we do it:
https://www.rcog.org.uk/en/guidelines-research-services/audit-quality-improvement/each-baby-counts/implementation/improving-fetal-monitoring/
https://www.england.nhs.uk/london/wp-content/uploads/sites/8/2020/03/IFM-Resource-FINAL-04.03.20.pdf
Guidance
https://www.nice.org.uk/guidance/cg190/resources/interpretation-of-cardiotocograph-traces-pdf-248732173
https://physiological-ctg.com/index.html

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