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[quote=Anonymous][quote=Anonymous]In the 60's, a significant number of infants were stillborn or died post partum---historically even more. The species isn't concerned with your personal survival and a significant amount of wastage takes place---do you want to be one? Close monitoring with efm can indeed pick up late decelerations or a flat heartrate that is unvarying...both signs of fetal distress. What I find most telling is that docs are frequently sued for failure to use the technology---and the women say they would have used it if they had just understood that they could be the one in one thousand. [/quote]

I don't think there's any evidence that the reduction in perinatal mortality is due to electronic fetal monitoring.  All the research I've seen suggests that EFM is useless, or worse, leads to uneeded c-section (which themselves are an increased risk over *normal* vaginal birth.)  See, eg, http://aje.oxfordjournals.org/content/114/4/539; http://www.obgmanagement.com/article_pages.asp?AID=3270; http://www.mendeley.com/research/admission-electronic-fetal-monitoring-not-improve-neonatal-outcomes/.

But anyway, it's not like midwives (at least the ones I see at GW) NEVER monitor the heartrate.  They just do it intermittently instead of continuously, so you don't have to be hooked up to equipment the whole time.[/quote]

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