Apologies for cross posting
I am only aware of one study looking at centralised monitoring. Weiss
et al (1997) did a retrospective study comparing centralised monitoring
(n=805) to noncentralised monitoring (n=817) in regard to perinatal
outcome. Acknowledging the weaknesses in such a design, the results
suggested that 'centralised monitoring may be associated with an
increase in the overall caesarean section rate and operative vaginal
delivery rate.
The full reference is as follows:
Weiss P, Balducci J, Reed J, Klasko S, Rust O. Does centralised
monitoring affect perinatal outcome? The Journal of Maternal-Fetal
Medicine 1997;6:317-319.
Perhaps this article will help given the absence of evidence, to my
knowledge, as to benefit of centralised monitoring...to paraphrase
Archie Cochrane, the burden of proof rests with those advocating the
intervention to show the benefit of the intervention.
Regards
Declan
Declan Devane,
Doctoral Student / Midwifery Research Assistant,
School of Nursing and Midwifery Studies,
University of Dublin Trinity College,
Trinity Centre for Health Sciences Education,
St. James's Hospital,
Dublin 8.
Tel: 087 659 6923
Email: [log in to unmask]
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-----Original Message-----
From: The normal birth research list
[mailto:[log in to unmask]] On Behalf Of Joy Kemp
Sent: 08 January 2003 15:14
To: [log in to unmask]
Subject: Centralised CTG monitoring
Dear All
It is proposed in my unit to introduce centralised CTG monitoring for
the labour ward. The rationale given by the lead consultant and
clinical risk manager (midwife) for this is that CTGs will then be
recorded and archived electronically, so will be available for review
purposes indefinitely.
I know of one piece of research done recently in which video cameras
were used to collect data, but cannot recall the name of the researcher
or whether this has yet been published. Can anyone enlighten me, and/or
point me to any other work which has been done on the subject.
For those who have worked with such a system, please would you also let
me know your thoughts on whether centralised monitoring empowers or
seeks to control midwifery practice and whether there are any other
issues we may need to be aware of.
Many thanks
Joy Kemp
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