Cochrane · systematic review · CD000116
Fetal electrocardiogram (ECG) for fetal monitoring during labour
Neilson, JP · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 1 · 14.3%High 6 · 85.7%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) versus CTG alone for fetal monitoring during labour
Population: Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Caesarean section ‐ ST analysis Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone | RR 1.02 [0.96, 1.08] | 6 studies · 26446 participants | High |
Cord pH less than 7.05 and base deficit greater than 12 mmol/L ‐ ST analysis Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone | RR 0.72 [0.43, 1.2] | 6 studies · 25682 participants | Moderate Downgraded: inconsistency |
Neonatal encephalopathy ‐ ST analysis Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone | RR 0.61 [0.3, 1.22] | 6 studies · 26410 participants | High |
Fetal blood sampling ‐ ST analysis Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone | RR 0.61 [0.41, 0.91] | 4 studies · 9671 participants | High |
Operative vaginal delivery ‐ ST analysis Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone | RR 0.92 [0.86, 0.99] | 6 studies · 26446 participants | High |
Admission to neonatal special care unit ‐ ST analysis Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone | RR 0.96 [0.89, 1.04] | 6 studies · 26410 participants | High |
Perinatal death ‐ ST analysis Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone | RR 1.71 [0.67, 4.33] | 6 studies · 26446 participants | High |