AI Article Synopsis
- The study examines fetal monitoring methods during births in Norway from 2019-2020, aiming to evaluate adherence to national guidelines and variations based on women’s risk statuses.
- Data was collected from a nationwide registry for pregnancies over 22 weeks, analyzing monitoring methods and factors affecting their use, particularly focusing on low-risk births.
- Findings show that a majority of births were monitored using CTG alone or in combination with intermittent auscultation, with significant influences from maternal, fetal, and regional practices, and only half of low-risk straightforward births followed the recommended intermittent auscultation guidelines.
Article Abstract
Objective: To describe intrapartum fetal monitoring methods used in all births in Norway in 2019-2020, assess adherence to national guidelines, investigate variation by women's risk status, and explore associations influencing monitoring practices.
Methods: A nationwide population-based study. We collected data about all pregnancies with a gestational age ≥ 22 weeks during 2019-2020 from the Medical Birth Registry of Norway. We used descriptive analyses, stratified for risk status, to examine fetal monitoring methods used in all deliveries. Univariable and multivariable logistic regression models were used to determine factors associated with monitoring with cardiotocography (CTG) in low-risk, straightforward births.
Results: In total, 14 285 (14%) deliveries were monitored with only intermittent auscultation (IA), 46214 (46%) with only CTG, and 33417 (34%) with IA and CTG combined. Four percent (2 067/50 533) of women with risk factors were monitored with IA only. Half (10589/21 282) of the low-risk women with straightforward births were monitored with CTG. Maternal and fetal characteristics, size of the birth unit and regional practices influenced use of CTG monitoring in this group.
Conclusions: Most births are monitored with CTG only, or combined with IA. Half the women with low-risk pregnancies and straightforward births were monitored with CTG although national guidelines recommending IA.
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| http://dx.doi.org/10.1016/j.srhc.2024.101006 | DOI Listing |
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