The design of the very first RCT about CTG monitoring is interesting, and it raised a question which we really haven’t ever answered fully. Does the use of CTGs create the very problem they are meant to prevent?
@melaniethemidwife (aka Melanie Jackson) has put together a fabulous summary of our recent research paper. Thanks Melanie – you have captured it really well! Small, K. A., Sidebotham, M., Fenwick, J., & Gamble, J. (2020, Sept). Intrapartum cardiotocograph monitoring and perinatal outcomes for women at risk: Literature review. Women and Birth, 33(5), 411-418. https://doi.org/10.1016/j.wombi.2019.10.002
Faith in technology, commercial interests, and liberalisation of tort law had more to do with the introduction of CTG monitoring than research evidence did.
The history of maternity care is essentially the story of men trying to make sense of women as a mysterious “other” to men. This is true of the history of fetal heart rate monitoring too.
I quite like Doctor Who. One of the common threads in the show involves the Doctor warning their companions that it is important not to meddle with the past in a way that might alter the future. Of course, what inevitably happens is that the Doctor and companions end up being compelled take action in order to ensure that everyone arrives at the end of the episode happy and healthy, […]