Abstract
Intrapartum electronic fetal heart-rate monitoring was introduced with great enthusiasm in the early 1970s. Most cases of cerebral palsy were thought to result from asphyxia during the intrapartum period, and it was hoped that the ability to recognize intrapartum fetal asphyxia and intervene with a timely delivery would reduce the incidence of fetal neurologic injury. During the years after the adoption of electronic fetal monitoring, numerous publications documented associations between various fetal heart-rate patterns and short-term outcome measures of neonatal well-being. These outcome measures were assumed to be reliable surrogates for the development of long-term neurologic handicaps. By the end . . .
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