A survey of APGO members reveals that while almost all check fetal heart rates before and after nonobstetric surgery, less than half routinely monitor it intraoperatively.
Underutilization of intraoperative fetal monitoring persists; leaves open its outcome impact and need for prospective trials.
OBJECTIVE: To assess practice patterns concerning intraoperative fetal heart rate monitoring during nonobstetric surgery in pregnancy among members of the Association of Professors of Gynecology and Obstetrics (APGO). STUDY DESIGN: A 16-question survey regarding intraoperative fetal heart rate monitoring during nonobstetric surgery was delivered to the 1300 APGO members via email. Descriptive statistics were used to determine the reasons for fetal monitoring during nonobstetric surgery in pregnancy. RESULTS: Concerning intraoperative monitoring during nonobstetric surgery, 98% of respondents recorded the fetal heart rate pre-and post-surgery, and 43% of respondents reported they usually monitor intraoperatively. Of the 1151 physicians surveyed, 16% completed the survey. CONCLUSION: The majority of APGO members surveyed do not employ intraoperative fetal heart rate monitoring during nonobstetric surgery in pregnancy.
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Kilpatrick et al. (2010) studied this question.
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