Physiological cardiotocography interpretation and neonatal morbidity: A historical pre-post cohort study in a tertiary perinatal center - PubMed
3 hours ago
- #intrapartum care
- #neonatal morbidity
- #cardiotocography
- Physiological CTG interpretation (PCI) was implemented as a multicomponent strategy including training and documentation changes.
- The study compared pre-implementation (2018) and post-implementation (2022-2023) periods in a tertiary perinatal center.
- Composite neonatal morbidity decreased from 4.10% to 2.92%, with lower rates of neonatal acidosis and NNU transfers.
- Cesarean section rates did not increase after adjustment, but postpartum blood loss was higher post-implementation.
- PCI was associated with improved neonatal outcomes without raising adjusted cesarean rates, supporting its use in fetal surveillance.