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Obstetrics & Gynecology 1973;41:818-824
© 1973 by The American College of Obstetricians and Gynecologists
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Experiences With Fetal Monitoring in a Community Hospital

VERNON C. KELLY, MD, FACOG and DURGADAS KULKARNI, MD

From the Department of Obstetrics at The Greater Baltimore Medical Center, Baltimore. Maryland

Abstract

A study of ihe value of electronic fetal monitoring as an intrapartum fetal intensive care method was conducted in a community hospital. The indications for monitoring are listed. The Apgar scores and neonatal mortality figures achieved in 150 cases, 90% of which were "at risk," arc compared to those of a group of 17,000 unselected cases. The results favor the monitored group. Retrospective analysis of perinatal mortality showed a Pocential 44% saving in infants over 1500 g, if routine monitoring was instituted. No complications ensued as a result of monitoring. Twenty eight cesarean sections were prevented, and 26 were performed earlier because of monitoring. We concluded that electronic fetal monitoring reduced fetal morbidity and mortality in the community hospital






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