Kelso I M, Parsons R J, Lawrence G F, Arora S S, Edmonds D K, Cooke I D
Am J Obstet Gynecol. 1978 Jul 1;131(5):526-32. doi: 10.1016/0002-9378(78)90114-x.
Intrapartum continuous fetal heart rate monitoring has been routinely performed at the Jessop Hospital for Women for some years. However, no controlled trials had ever been performed to show its advantages over intermittent auscultation in low-risk patients. A prospective randomized study of 504 patients compared continuous fetal heart rate monitoring with intermittent auscultation. There was no significant difference between the two groups in neonatal deaths, Apgar scores, maternal and neonatal morbidity, and cord blood gases. The cesarean section rate was significantly increased (p less than 0.05) in the monitored patients but this did not seem attributable to fetal monitoring. No beneficial or deleterious effects of continuous fetal heart rate monitoring in labor were shown.
多年来，杰索普妇产医院一直常规进行产时连续胎心监护。然而，此前从未进行过对照试验以证明其在低风险患者中优于间歇听诊。一项针对504例患者的前瞻性随机研究对连续胎心监护和间歇听诊进行了比较。两组在新生儿死亡、阿氏评分、母婴发病率及脐血气方面无显著差异。监测组患者的剖宫产率显著升高（p<0.05），但这似乎并非由胎儿监护所致。未显示产时连续胎心监护有有益或有害影响。
