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July 8, 2009 | Print

New Fetal Monitoring Guidelines

The American College of Obstetricians and Gynecologists has generated new guidelines for fetal monitoring.

Fetal monitoring was introduced in the 1970s as a means to reduce the risk of cerebral palsy and decreased oxygen to the brain. Electronic monitoring became a standard procedure for labor before researchers determined its benefits. Experts now report that monitoring has led to an increase in C-sections and forceps deliveries, and has not reduced the risk of cerebral palsy or infant deaths. In addition, lawyers use fetal monitoring results to fault doctors in malpractice lawsuits which has increased malpractice insurance to such an extent that many obstetricians stop delivering babies.

The new guidelines define the meaning of different monitor readings so doctors can make more informed decisions about whether and how to intervene during labor.

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