Strategies for intrapartum foetal surveillance in low- and middle-income countries: A systematic review.
Natasha HousseineMarieke C PuntJoyce L BrowneTarek MeguidKerstin Klipstein-GrobuschBarbara E KwastArie FranxDiederick E GrobbeeMarcus J RijkenPublished in: PloS one (2018)
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.