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Admission cardiotocography vs intermittent auscultation of the fetal heart in low-risk pregnancy during evaluation for possible labour admission - A multicentre randomised trial: The ADCAR trial

BJOG: An International Journal of Obstetrics and Gynaecology Aug 30, 2018

Smith V, et al. - Researchers performed a parallel multi-centre randomised trial to assess the effect of admission cardiotocography (ACTG) vs intermittent auscultation (IA) of the fetal heart (FH) in low-risk pregnancy during assessment for possible labour on caesarean section rates. Healthy, low-risk pregnant women, at term and ≥18 years, were randomized to receive IA of the FH or 20 minute ACTG on admission for possible labour onset, using remote telephone randomisation. In this work, IA and ACTG resulted in no differences in obstetric or neonatal outcomes, except an increased risk for continuous CTG in women receiving ACTG.
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