The future of electronic fetal monitoring

Knupp, Rubymel Jijón; Andrews, William W.; Tita, Alan T.N.

doi:10.1016/j.bpobgyn.2020.02.004

Cited by 29Maternal and Perinatal Health InterventionsHealthcare Technology and Patient MonitoringNeonatal and fetal brain pathology

The DOI matches its Crossref record; 55 of the 55 references it cites were found in a registry or an index.

The future of electronic fetal monitoring

Knupp, Rubymel Jijón, Andrews, William W., Tita, Alan T.N.·2020·Best Practice & Research Clinical Obstetrics & Gynaecology

DOI 10.1016/j.bpobgyn.2020.02.004

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Abstract

Continuous electronic fetal monitoring (EFM) was first introduced commercially over 50 years ago with the hope of improving perinatal outcomes during labor. However, despite the increased use of EFM, definitive improvements in perinatal outcomes have not been demonstrated. Variance in tracing interpretation and intervention has led to increased rates of cesarean and operative vaginal deliveries and perhaps increased maternal and neonatal morbidity. Since its inception, several strategies have been developed in hopes of optimizing EFM and improving these outcomes. We discuss the current standards of intrapartum fetal monitoring and review optimization strategies and technologies in development to improve intrapartum fetal monitoring.

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It is difficult to interpret EFM graphs, which have been found to have low specificity compared with their level of sensitivity.
“However, it is difficult to interpret the graphs, which have been found to have low specificity, compared with the level of sensitivity [9].”
From Analysis of the effect of an artificial intelligence chatbot educational program on non-face-to-face classes: a quasi-experimental study (2022) · cites this paper as [9]

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Analysis of the effect of an artificial intelligence chatbot educational program on non-face-to-face classes: a quasi-experimental study
Han, J.-W., Park, J., & Lee, H. (2022) · BMC Medical Education · doi:10.1186/s12909-022-03898-3 · Cited by 187

Authors: Knupp, R. J., Andrews, W. W., & Tita, A. T. N.
Affiliations: University of Alabama at Birmingham (US)
Corresponding author: Knupp, Rubymel Jijón
ORCID: Knupp, Rubymel Jijón
Tita, Alan T.N.
Venue: Best Practice & Research Clinical Obstetrics & Gynaecology
Publisher: Elsevier BV
Published: 2020-08
Volume: 67
Pages: 44-52
ISSN: 1521-6934 (ISSN-L)
DOI: 10.1016/j.bpobgyn.2020.02.004
OpenAlex: W3012301374
Cited by: 29
References: 55
Citations by year: 2026: 3 · 2025: 3 · 2024: 8 · 2023: 7 · 2022: 4 · 2021: 3 · 2020: 1
FWCI: 0.44
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Best Practice & Research Clinical Obstetrics & Gynaecology (publishedVersion)
PubMed (publishedVersion)
Funders: University of Alabama
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
Keywords: fetal heart rate monitoring, intrapartum fetal monitoring, perinatal outcomes, cesarean section, instrumental delivery, maternal morbidity, neonatal morbidity
MeSH terms: Female, Fetal Monitoring, Heart Rate, Fetal, Humans, Labor, Obstetric, Pregnancy, Cardiotocography, Delivery, Obstetric

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The future of electronic fetal monitoring

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