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October 13, 2025BJOG An International Journal of Obstetrics & GynaecologyOpen Access

Revisiting the Value of Admission Cardiotocography in Term Pregnancies: An Updated Systematic Review and Meta‐Analysis

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Authors

MTMariana ToméALAimée A. K. LoversLILawrence Impey

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Overview

Systematic review finds no benefit of admission cardiotocography over intermittent auscultation in low-risk pregnancies, suggesting a shift in practice.

Key Points

  • Admission cardiotocography did not improve maternal or neonatal outcomes in low-risk term pregnancies, contrary to previous concerns.
  • Continuous electronic fetal heart rate monitoring was significantly higher with admission cardiotocography, with a relative risk of 1.23.
  • Five randomised controlled trials involving 16,341 pregnant women assessed the effectiveness of admission CTG versus intermittent auscultation.
  • Findings highlight the need for updated practices favoring intermittent auscultation, especially in low-risk populations.

Cite This Study

Tomé et al. (2025) studied this question.

synapsesocial.com/papers/68ec51df42911f61ef8b2247https://doi.org/10.1111/1471-0528.70047
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The association between undetected small‐for‐gestational age and abnormal admission cardiotocography: A registry‐based study2023 · 3 citations
  2. 2Twenty‐five years after the FIGO guidelines for the use of fetal monitoring: Time for a simplified approach?2010 · 90 citations
  3. 3Randomised controlled trial of cardiotocography versus Doppler auscultation of fetal heart at admission in labour in low risk obstetric populationCommentary: changes between protocol and manuscript should be declared at submissionCommentary: research governance must focus on research trainingCommentary: Approach to power calculations has to be realistic2001 · 88 citations