IDEAS home Printed from
   My bibliography  Save this article

Intrapartum Fetal Monitoring: Pathophysiology and Evolution of Various Techniques


  • Myron Godinho

    (Research Associate, Public Health Evidence South Asia (PHESA), Manipal University, Manipal, Karnataka, India)

  • Somsubhra De

    (Professor, Department of Obstetrics & Gynecology, Melaka Manipal Medical College, Melaka, Malaysia)


Perinatal hypoxia has been a source of major concern for the pregnant woman and her obstetrician alike. The former was plagued by constant worries of neonatal morbidity and mortality and the latter, by constant threat of medical litigations. Intrapartum fetal monitoring (IPFM) played an important role in the attempt to establish equilibrium. Initially, intermittent auscultation was the only method of monitoring the well-being of fetus during labor. Further research led to the evolution of electronic fetal monitoring, scalp blood sampling, fetal pulse oximetry, ST-analysis of the fetal ECG and the use of sophisticated magnetism and infra-red optics. A trial using artificial intelligence in IPFM has recently reached its final phase. Even as more novel methods of monitoring continue to emerge, the perfect monitoring technique still remains to be discovered. Analysis made it evident that no single method was capable of distinguishing true cases of fetal distress from false one, sufficiently accurately. A combination of two or more methods is required for a reliable diagnosis to be obtained, and current treatment protocols should reflect this. The concurrent use of two or more monitoring methods in an algorithmic manner will go a long way in reducing the incidence of perinatal morbidity especially in high risk obstetric cases.

Suggested Citation

  • Myron Godinho & Somsubhra De, 2018. "Intrapartum Fetal Monitoring: Pathophysiology and Evolution of Various Techniques," Journal of Asian Scientific Research, Asian Economic and Social Society, vol. 8(1), pages 30-41, January.
  • Handle: RePEc:asi:joasrj:2018:p:30-41

    Download full text from publisher

    File URL:
    Download Restriction: no

    File URL:
    Download Restriction: no


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:asi:joasrj:2018:p:30-41. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Qazi Muhammad Imran). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.