In a medical population study, continuous EFM is used in the majority of births in the U.S., but these studies have shown that continuous monitoring is not more effective than intermittent monitoring. Other studies have shown an increase in interventions such as vacuum extraction, cesarean sections, and the use of forceps for women who are monitored continuously, with limited benefit to the baby.A resource person from Special Beginnings Birth and Women's Center in Arnold, Maryland, named Phyllis Rattey, CNM, stated that the reason for the increase in interventions in the normal birth process for women who are continually monitored could be due to misinterpreting the monitor strip and jumping to intervene for a speedy delivery rather than looking for ways to help improve conditions for the baby. And according to her, decreases in heartbeat are common during labor, especially during a contraction. By using a machine instead of midwives, nurses, and doctors to provide care, decisions might be made too quickly, instead of looking for simple ways to provide improved oxygenation for the baby.
While the American College of Obstetricians and Gynecologists and the U.S.
Preventive Services Task Force shares the same views that laboring women need some form of fetal monitoring, yet they reserve continuous fetal monitoring for high-risk cases.
On the other hand and with regards to continuous fetal monitoring for high-risk women, many people think that the said procedure should be used only when there are significant risk factors for complications.
Another resource person from Cambridge Birth Center/Cambridge Midwives, in Massachusetts named Connie Breece, CNM, confirmed that EFM is useful when a baby is stressed, such as when there is thick meconium, the mother has a fever, or there is an obvious problem with the placenta, or when the baby isn't tolerating the stress of labor well. For healthy moms and babies in labor, intermittent auscultation of the fetal heart with a handheld monitor is sufficient.
Most midwives and doctors would agree that high-risk patients should be closely monitored. Phyllis Rattey added that there is a role for this type of monitoring for women who are receiving labor inducing medication or for women who have not had reassuring fetal heart tones early in labor. She worries that this method of monitoring during labor places too much attention on a machine instead of taking cues from the mother. But according to reports from New York Hospital in New York City, a certain Kate Bauer, who delivered at the said hospital said that the fetal monitor strip gave her husband, who is very scientific, something to focus on, and it helped him understand what was going on during labor and with the baby.
And again according to Connie Breece, that many patients choose out-of hospital births to avoid monitoring and other interventions that might hinder labor.
But as with the studies and the proven significance of fetal monitoring during labor stage, we really can’t ignore the benefits it can bring. Well as to avoid such erroneous results, misreading and misinterpretations, choosing a trusted brand of fetal monitor device should be highly considered by the health professionals or institutions. We dare you to try using Edan’s Cadence Pro.
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