Continuous Electronic Fetal Monitoring: Contradictions Between Practice and Research

Haggerty, Lois A.

doi:10.1111/j.1552-6909.1999.tb02010.x

Cited by 36 publications

(18 citation statements)

References 30 publications

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“…3,4 However much more data became available to clinicians by using CEFM following its introduction in the late 1950s, 5 even though there is continued disagreement over the interpretation of CEFM traces. 6,7 Controversy has been raised about the increased rates of medical interventions associated with CEFM use, without the benefit of improved long term foetal outcomes. [8][9][10] The use of CEFM is supported for women experiencing high risk pregnancies, though this remains controversial for low risk labouring women.…”

Section: Literature Reviewmentioning

confidence: 99%

Foetal monitoring: A woman-centred decision-making pathway

et al. 2011

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Section: Literature Reviewmentioning

confidence: 99%

Foetal monitoring: A woman-centred decision-making pathway

et al. 2011

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“…Fetal monitors are used during the vast majority of deliveries. In 1996, 83 percent of women were monitored electronically (Haggerty, 1999). Electronic fetal monitoring is useful for detecting early fetal distress and monitoring high-risk women during delivery (Sweha, Hacker and Nuovo, 1998).…”

Section: Fetal Monitormentioning

confidence: 99%

Medicaid Coverage and Medical Interventions During Pregnancy

Turcotte

Robst

Polachek

2005

Int J Health Care Finance Econ

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This paper extends prior research on the effect of Medicaid coverage on medical interventions during pregnancy (prenatal ultrasound) and birth (ultrasound during delivery, cesarean delivery, inducement, and fetal monitor). The data are from two sources: the New York State Vital Statistics (VS) matched infant birth-death file and the Statewide Planning and Research Cooperative System (SPARCS) file for 1993--1996. Medicaid coverage increases the likelihood of teens and adults receiving prenatal care relative to being uninsured. Overall, the effect of insurance type varies depending on whether the procedure is part of standard care (ultrasound and fetal monitor) or more likely to be elective (inducement and cesarean delivery). Insurance type has a greater effect for elective procedures than for procedures that are part of standard care.

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“…Fetal monitors are used during the vast majority of deliveries, although it can be used earlier in the pregnancy. In 1996, 83 percent of women were monitored electronically (Haggerty, 1999). EFM is useful for detecting early fetal distress and monitoring high-risk women during delivery (Sweha, Hacker, and Nuovo, 1999).…”

Section: Fetal Monitormentioning

confidence: 99%

Medical interventions among pregnant women in fee-for-service and managed care insurance: a propensity score analysis

2006

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. The Institute for the Study of Labor (IZA) in Bonn is a local and virtual international research center and a place of communication between science, politics and business. IZA is an independent nonprofit company supported by Deutsche Post World Net. The center is associated with the University of Bonn and offers a stimulating research environment through its research networks, research support, and visitors and doctoral programs. IZA engages in (i) original and internationally competitive research in all fields of labor economics, (ii) development of policy concepts, and (iii) dissemination of research results and concepts to the interested public. Terms of use: Documents in D I S C U S S I O N P A P E R S E R I E SIZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author. We extend prior research on the effect of managed care on the receipt of four medical interventions for pregnant women: ultrasound, induction/stimulation of birth, electronic fetal monitor, and cesarean delivery. Propensity score methods are used to account for sample selection issues regarding insurance choice. Managed care enrollees are more likely to receive an ultrasound, which may be indicative of receiving better prenatal care. Managed care plans reduce the rate of cesarean deliveries, but such limitations may be beneficial given the substantial medical evidence that cesarean deliveries are over utilized. The results indicate that insurance coverage does influence treatment intensity, but that utilization controls and provider financial incentives do not adversely affect care for pregnant women.JEL Classification: I71

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Continuous Electronic Fetal Monitoring: Contradictions Between Practice and Research

Cited by 36 publications

References 30 publications

Foetal monitoring: A woman-centred decision-making pathway

Foetal monitoring: A woman-centred decision-making pathway

Medicaid Coverage and Medical Interventions During Pregnancy

Medical interventions among pregnant women in fee-for-service and managed care insurance: a propensity score analysis

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