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Table 1 The effect of continuous EFM versus intermittent auscultation on the incidence of deaths attributable to intrapartum hypoxia

From: A study of an intelligent system to support decision making in the management of labour using the cardiotocograph – the INFANT study protocol

 

No. of patients in the EFM group

No. of patients in the IA group

No. of perinatal deaths

Perinatal deaths due to fetal hypoxia

Study

EFM

IA

EFM

IA

Haverkamp et al (1976) [45]

242

241

2 (FD 0, ND 2)

1 (FD 0, ND 1)

0

0

Renou et al (1976) [46]

175

175

1 (FD 0, ND1)

1 (FD 1, ND 0)

0

1 (FD)

Kelso et al (1978) [47]

253

251

0

1 (FD 0, ND 1)

0

1 (ND)

Haverkamp et al (1979) [48]

230 229

231

3 (FD 0, ND 3)

0

0

0

Wood et al (1981) [49]

445

482

1 (FD 0, ND 1)

0

0

0

MacDonald et al (1985) [8]

6474

6490

14 (FD 3, ND 11)

14 (FD 2, ND 12)

7 (FD 3, ND 4)

7 (FD 2, ND 5)

Neldam at al (1986) [50]

482

487

0

1 (FD 1, ND 0)

0

1 (FD)

Luthy et al (1987) [51]

122

124

17 (FD 1, ND 16)

18 (FD 1, ND 17)

0

1 (FD)

Vintzileos et al (1993) [52]

746

682

2 (FD 0, ND 2)

9 (FD 2,ND 7)

0

6 (FD 2, ND 4)

Total

9398

9163

40 (4.2/1000)

45 (4.9/1000)

7 (0.7/1000)a

17 (1.8/1000)a

  1. EFM electronic fetal monitoring, IA intermittent auscultation, FD fetal (intrapartum) death, ND neonatal death
  2. aStatistically significant difference; Mantel-Haenszel odds ratio 0.42 (95 % confidence interval 0.17 to 0.98)