Strategies for intrapartum foetal surveillance in low- and middle-income countries: A systematic review

Natasha Housseine, Marieke C Punt, Joyce L Browne, Tarek Meguid, Kerstin Klipstein-Grobusch, Barbara E Kwast, Arie Franx, Diederick E Grobbee and Marcus J Rijken

PLOS ONE, 2018, vol. 13, issue 10, 1-17

Abstract: Background: The majority of the five million perinatal deaths worldwide take place in low-resource settings. In contrast to high-resource settings, almost 50% of stillbirths occur intrapartum. The aim of this study was to synthesise available evidence of strategies for foetal surveillance in low-resource settings and associated neonatal and maternal outcomes, including barriers to their implementation. Methods and findings: The review was registered with Prospero (CRD42016038679). Five databases were searched up to May 1st, 2016 for studies related to intrapartum foetal monitoring strategies and neonatal outcomes in low-resource settings. Conclusions: From the available evidence, the partograph is associated with improved perinatal outcomes and is recommended for use with intermittent auscultation for intrapartum monitoring in low resource settings. CTG is associated with higher caesarean section rates without proven benefits for perinatal outcomes, and should not be recommended in low-resource settings. High-quality evidence considering implementation barriers and enablers is needed to determine the optimal foetal monitoring strategy in low-resource settings.

Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0206295

DOI: 10.1371/journal.pone.0206295

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