Intrapartum Fetal Monitoring Controversies

CTG was incorporated in clinical obstetrics to reduce intrapartum fetal morbidity and mortality. However, controversies continue regarding the benefits of EFM as opposed to IA. From various studies it is concluded that IA is a good as EFM in detecting fetal hypoxia in low risk pregnancy but question regarding advantages in using EFM in high risk pregnancies is still unanswered.Due to high sensitivity but low specificity of EFM, it should primarily be used as a screening test in detecting fetal hypoxia or distress and FBS as the gold standard diagnostic test to confirm or repute suspected hypoxia. As all methods of intrapartum fetal monitoring have their own pit falls, it is conclusively shown important that one to one care for a labouring woman is ideal to prevent fetal morbidity and mortality.