Hautakangas T, Uotila J, Huhtala H, et al. - Researchers conducted a randomized controlled trial examining if reduction in operative deliveries and improvement in newborn outcome occur in correlation with the use of intrauterine tocodynamometry vs external tocodynamometry (IT vs ET) during labor. In view of attaining more precise information on labor contractions using IT, they hypothesized that it may be more relevant in guiding oxytocin use than ET. Among a total of 1,504 parturients with singleton pregnancies (gestational age ≥ 37 weeks) with fetus in cephalic position, 269 women had uterine scars, 889 were nulliparas and 346 were parous women with oxytocin augmentation. During the active first stage of labor, 736 participants underwent IT and 768 underwent ET. Outcomes revealed no reduction in the rate of operative deliveries, use of oxytocin, or adverse neonatal outcomes, and no shortening of labor duration in correlation with undergoing IT.