Fetal scalp electrode use

Abstract

Fetal scalp electrodes are a common intervention in the UK, in circumstances where monitoring via an abdominal transducer is ineffective. However, there are cases in which a fetal scalp electrode does not ensure continuous transmission of the fetal heart rate, and its application and continued presence can cause distress and discomfort to the birthing person. Research reveals that fetal scalp electrodes are associated with neonatal morbidity and mortality, as well as maternal infection. Given the limitations of continuous fetal monitoring, the author posits that the use of these devices should only occur with clear clinical indications and fully informed consent from the birthing person.