Abstract
The continued widespread use of electronic fetal monitoring in normal labour is illustrative of technology becoming our master, not our servant. It is one of the clearest examples of iatrogenesis as false positive rates continue to result in unnecessary caesarean sections. The opportunity now presents itself to remove monitors from women in normal labour as clinical governance advocates evidence-based practice in maternity care. For many midwives, whether it achieves this will be an acid test. Will clinical governance herald a new dawn in the sensitive application of proven treatments (and the banishment of the ineffective), or will it become just another control mechanism where selective interventions are endorsed or rejected but those that challenge entrenched practices and vested interests are quietly ignored?
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