Table 3. Foetal monitoring methods as predictors of birth outcomes.
Method | Predicts perinatal outcomes/foetal distress1 | Improves perinatal outcomes1 | Predicts mode of delivery | Increases operative deliveries | Improves Maternal morbidity/ mortality |
||
---|---|---|---|---|---|---|---|
Admission test | CTG(n = 7) | ||||||
IA (Doppler, n = 1)) | |||||||
Admission AFI (n = 1) | |||||||
FAST (n = 3) | |||||||
rBPP(n = 1) | |||||||
UADV(n = 2) | |||||||
Ongoing intrapartum foetal monitoring | FHR | IA Pinard(n = 6) REFERENCE2 | |||||
IA Doppler(n = 3) | |||||||
CTG(n = 11) | |||||||
Partograph(n = 5) | |||||||
Adjunctive tests | MSAF(n = 7) | ||||||
FSST(n = 1) | |||||||
FBS(n = 1) | |||||||
FPO(n = 1) | |||||||
UADV(n = 1) |
Green = Yes; Red = No; Orange = Unclear (i.e. outcome not reported or the evidence conflicts across studies). AFI = Amniotic fluid index, CTG = cardiotocograph, FAST = Foetal acoustic stimulation test, FBS = Foetal blood sampling, FPO = Foetal pulse oximetry, FSST = Foetal scalp stimulation test, MSAF = Meconium-staining amniotic fluid, rBPP = rapid Biophysical Profile, UADV = Umbilical artery Doppler velocity
1Perinatal outcomes any of the following: Apgar score at 1 or 5 minutes, umbilical cord blood pH/gases, need for neonatal resuscitation, stillbirth (intrapartum/fresh), neonatal deaths before discharge/within 24hours, admission to neonatal care unit, hypoxic-ischaemic encephalopathy
2Pinard was used as a reference test for which Doppler and CTG were compared to.