[More fetal monitoring, more cesarean sections? An attempt at meta-analysis of the problem].
Has the introduction of continuous intrapartum fetal heart rate (F.H.R.) registration resulted in an increase of cesarean section (CS) rates? Our meta-analysis of literature published since 1970 reveals the weak intrinsic value of retrospective studies and the heterogeneity of randomised trials concerning this question. The impact of routine intrapartum FHR monitoring on CS rates is low--and even null--in selected groups; the relationship diminishes over time.
Le Coutour
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Département de Médecine Sociale et Préventive, Faculté de médecine, Université de Montréal, Québec, Canada.
Jenicek
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D002585:Cesarean Section / Q000706:statistics & numerical data*; D002986:Clinical Trials as Topic; D005260:Female; D005323:Fetal Monitoring; D006340:Heart Rate, Fetal; D006801:Humans; D015201:Meta-Analysis as Topic; D011247:Pregnancy; D011897:Random Allocation; D012189:Retrospective Studies
Plus de monitoring foetal, plus de césariennes? Essai de la méta-analyse du problème.