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December 1, 2024BMJ OpenOpen Access

Identified influences on EFM practice across all 19 domains of the contributory factors framework, including cognitive, social, and organisational factors.

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Why the study?

Suboptimal intrapartum electronic fetal heart rate monitoring using cardiotocography has remained a persistent problem, prompting an evaluation of the range of influences on its safety in practice.

Population

142 articles and 14 reports on intrapartum EFM-CTG in hospital-based intrapartum maternity care settings

Design

Scoping review

Authors

SKSarah KellyGLGuillaume LaméMDMary Dixon‐Woods

Discussion

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Overview

Reducing EFM-related harm requires systems approaches addressing all 19 domains; extends contributory factors framework to fetal monitoring.

Structured PICO

P
Population
Articles reporting potential influences on the clinical practice of intrapartum electronic fetal heart rate monitoring (EFM-CTG) in hospital-based intrapartum maternity care settings
I
Intervention
Intrapartum electronic fetal heart rate monitoring (EFM-CTG)
O
Outcome
Influences on the safety of using EFM-CTG in practice

Reducing avoidable harm associated with electronic fetal monitoring requires a systems approach addressing cognitive, social, and organizational factors.

Cite This Study

Kelly et al. (2024) studied this question.

synapsesocial.com/papers/6a7d64e3a3b6fd5035d5b4d8https://doi.org/10.1136/bmjopen-2024-085827
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis2023 · 18 citations
  2. 2Generational Leaps in Intrapartum Fetal Surveillance2025
  3. 3Intrapartum electronic fetal heart rate monitoring versus intermittent auscultation: A meta-analysis1995 · 273 citations
  4. 4Computerised interpretation of the fetal heart rate during labour: a randomised controlled trial (INFANT)2018 · 27 citations
  5. 5Reliability and agreement in intrapartum fetal heart rate monitoring interpretation: A systematic review2023 · 35 citations