Tag Archives: fetal monitoring

e-Fetal Monitoring – new from e-Learning for Healthcare

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Image Source: Pexels

A new learning path structure for eFetal Monitoring (eFM) is now available from HEE eLearning for Healthcare.  eFM is a comprehensive web-based resource developed by the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives in partnership with Health Education England e-Learning for Healthcare.

The knowledge sessions and assessments now appear as a series of learning paths based upon levels of complexity. The four learning paths are:

  • Level 1 – Pathophysiology: Normal Fetal Heart Rate Pattern
  • Level 2 – Risk factors for Fetal Hypoxia
  • Level 3 – Pathophysiology: Complex Fetal Heart Rate Pattern
  • Level 4 – Complex Pregnancies

More information about the course and how to access it is available here

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NIHR Signal: Computerised interpretation of fetal heart rate during labour does not improve outcomes

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Image Source: Wikimedia

Using a computerised decision-support system to interpret the outputs of continuous electronic fetal monitoring during labour does not show any advantages over clinicians interpreting the outputs themselves.  This is the first trial to assess decision support of this kind.

In this large NIHR-funded trial, rates of poor neonatal outcomes, caesarean sections and assisted deliveries were not affected by whether clinicians were alerted to potential problems by the decision-support system or by their own interpretation of the data. Developmental outcomes at two years of age were not affected either.

The system used in the trial only looked at fetal heart rate patterns, and didn’t use other data about the labour (which may affect how a clinician manages the labour). This suggests that maternity units should focus on other ways of improving recognition of problems and decision making when they are detected rather than investing in such decision-support systems at this time.

Read the full report here