Electronic fetal monitoring (EFM) is defined as the use of electronic fetal heart-rate monitoring by cardiotocograph (CTG) for the evaluation of fetal wellbeing. This Guideline “ Electronic Fetal Monitoring ” is based on the decisions be based on the clinical picture plus the CTG. Antenatal electronic fetal monitoring There is no evidence to support the routine antenatal use of EFM for fetal assessment in women with uncomplicated pregnancy. For women at increased risk of pregnancy complications current evidence has not identified differences in outcomes with the use of EFM during pregnancy, but more studies are needed.
There is no evidence to support EFM prior to 28 weeks gestation. Any decision to perform this level of monitoring at earlier gestation should be discussed with the obstetric consultant and justification documented. Any decision to perform EFM to assess fetal wellbeing…
