Hautakangas T, Uotila J, Huhtala H, et al. - Researchers examined if the use of intrauterine vs external tocodynamometry (IT vs ET) during labor decreases operative deliveries and improves newborn outcome. As IT yield more accurate information on labor contractions, it was hypothesized that it may provide more appropriate guidance to oxytocin use than ET. They conducted a randomized controlled trial including 1504 parturients with singleton pregnancies, gestational age ≥ 37 weeks and fetus in cephalic position; 269 women with uterine scars, 889 nulliparas and 346 parous women with oxytocin augmentation. Operative delivery rates of 26.9% (IT) and 25.9% (ET) were reported. They identified no reduction in the rate of operative deliveries, use of oxytocin, or adverse neonatal outcomes, as well as no shortening of labor duration, in correlation with IT.