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  1. #1
    Savingfishfromdrowning's Avatar
    Savingfishfromdrowning is offline If you can't change your fate, change your attitude
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    Default Does anyone have access to medical journals...

    And can get me some referances regarding continuous fetal monitoring?

    The Mybirth website says there are 9 trials published (maybe more now) showing that monitoring doesn't change outcomes but increases interventions and almost doubles CS rates.

    I'd need the full text to know if the results apply to my situation. My ob is pushing continuous monitoring and I want to make an informed choice.

    Anyone who can help I'd really appreciate it!!

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    BornToBe  (18-08-2012)

  3. #2
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    In fact even if I just got the full referances I could probably get a hold of the articles myself...

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    If you can get hold of a copy, I think there are reference lists for each chapter in Henci Goer's "The Thinking Woman's Guide to a Better Birth" (including information of fetal monitoring), which he included so that you can do some research yourself.

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    I can. If you want to send me a pm with the details and your email address I can try and get them for you..

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    Savingfishfromdrowning  (17-08-2012)

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    This may be more what your are looking for.. http://www.ncbi.nlm.nih.gov/pubmed/16856111 It is the cochrane review for many of the studies that have been published. I can send you the full text if you would like.

    This may also be useful http://evidencebasedbirth.com/2012/0...al-monitoring/

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  10. #6
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    Thanks for replies so far - very helpful

    I found a list of refs - I'm paticularly interested in those that include births classified as 'high risk'. Abstracts would probably be OK if full text isn't available. So wish I still had my uni library membership!

    moppet I will pm you my email.

    MacDonald D., Grant A., Sheridan-Pereira M. et al. The Dublin randomized controlled trial of intrapartum fetal heart rate monitoring. AM J Obstet Gynecol 1995; 152:524-39.

    Rosen MG and Dickinson JC. The paradox of electronic fetal monitoring: more data may not enable us to predict or prevent infant neurologic morbidity. Am J Obstet Gynecol 1993;168(3 Part I):745-751.

    Shy KK. Larson EB, and Luthy DA. Evaluating a new technology: the effectiveness of electronic fetal monitoring in. Ann Rev Public Health 1987;8:165-190.

    Thacker SB. The efficacy of intrapartum electronic fetal monitoring. Am J Obstet Gynecol 1987;156(1):24-30.

    Prentice A and Lind T. Fetal heart rate monitoring during labour-too frequent intervention, too little benefit? Lancet 1987;2:1375-1377.

    Grant A. Epidemiological principles for evaluation of monitoring programs-the Dublin experience. Clin Invest Med 1993;16(2):149-158.

    Vintzileos AM et al. A randomized trial of intrapartum electronic fetal heart rate monitoring versus intermittent auscultation. N Engl J Med 1990;322(9):588-593.

    Sandmire HF. Whither electronic fetal monitoring? Obstet Gynecol 1990;76(6):1130-1134.

    Steer PJ et al. Interrelationships among abnormal cardiotocograms in labor, meconium staining of the amniotic fluid, arterial cord blood pH and Apgar scores. Obstet Gynecol 1989;74(5):715-721.

    Sykes GS et al. Fetal Distress and condition of the newborn infants. Br Med J 1983;287:943-945.

    Curzen P et al. Reliability of cardiotocography in predicting baby's condition at birth. Br Med J 1984;289:1345-1347..

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    Let me know if you are still chasing any of these articles as I have access to databases through uni.

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    The Cochrane review posted by Moppet was pretty strong evidence and included all the 12 known studies, so I think that's good enough for me. My risk status is GDM.

    I'd still be interested in articles specific to GDM if any are (but I don't think they are).

  14. #9
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    Ulysses is offline In the eyes of a child you will see...the world as it should be.
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    if others are unable to help i can get the info to you.

    i have access, i am just tied up at the moment - so ill check back later to see if you still need them.

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    Quote Originally Posted by wherewerewe91 View Post
    Just so you know, the article that I posted is actually the more recent and up to date....
    Oh thanks whereweare - it was actually your article I'd read

    Gives me the answer I needed - even in 'high risk' pregnancies CFM didn't change the outcome. The RANZCOG guidelines still recommend it for GD where insulin is being used (as is the case for me), but the evidence doesn't seem to back this up. My OB was insisting that intermittent monitoring has no place in high risk pregnancies but the evidence suggests otherwise.


 

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