{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:12:43Z","timestamp":1792289563627,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","award":["RP\/2006\/55"],"award-info":[{"award-number":["RP\/2006\/55"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the effect of admission cardiotocography (<jats:styled-content style=\"fixed-case\">ACTG<\/jats:styled-content>) versus intermittent auscultation (<jats:styled-content style=\"fixed-case\">IA<\/jats:styled-content>) of the fetal heart (<jats:styled-content style=\"fixed-case\">FH<\/jats:styled-content>) in low\u2010risk pregnancy during assessment for possible labour on caesarean section rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A parallel multicentre randomised trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Three maternity units in the Republic of Ireland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Healthy, low\u2010risk pregnant women, at term and \u2265 18 years old, who provided written informed consent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women were randomised to receive <jats:styled-content style=\"fixed-case\">IA<\/jats:styled-content> of the <jats:styled-content style=\"fixed-case\">FH<\/jats:styled-content> or 20 minutes <jats:styled-content style=\"fixed-case\">ACTG<\/jats:styled-content> on admission for possible labour onset, using remote telephone randomisation. Both groups received <jats:styled-content style=\"fixed-case\">IA<\/jats:styled-content> during labour, with conversion to continuous <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> as clinically indicated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Caesarean section (primary outcome), obstetric interventions (e.g. continuous <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> during labour, fetal blood sampling, augmentation of labour) and neonatal morbidity (e.g. metabolic acidosis, admission to the neonatal intensive care unit, neonatal death).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Based on 3034 women (1513 and 1521 randomised to <jats:styled-content style=\"fixed-case\">IA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ACTG<\/jats:styled-content>, respectively), there was no statistical difference between the groups in caesarean section [130 (8.6%) and 105 (6.9%) for <jats:styled-content style=\"fixed-case\">IA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ACTG<\/jats:styled-content> groups, respectively; relative risk (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>) 1.24; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.97\u20131.58], or in any other outcome except for use of continuous <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> during labour, which was lower in the <jats:styled-content style=\"fixed-case\">IA<\/jats:styled-content> group (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 0.90, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.86\u20130.93).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study demonstrates no differences in obstetric or neonatal outcomes between <jats:styled-content style=\"fixed-case\">IA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ACTG<\/jats:styled-content> for women with possible labour onset, other than an increased risk for continuous <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> in women receiving <jats:styled-content style=\"fixed-case\">ACTG<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>No differences in outcomes between intermittent auscultation and admission cardiotocography for women with possible labour onset.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.15448","type":"journal-article","created":{"date-parts":[[2018,8,22]],"date-time":"2018-08-22T15:11:30Z","timestamp":1534950690000},"page":"114-121","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Admission cardiotocography versus intermittent auscultation of the fetal heart in low\u2010risk pregnancy during evaluation for possible labour admission 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