ArticleBMC pregnancy and childbirth2014
Intelligent Structured Intermittent Auscultation (ISIA): evaluation of a decision-making framework for fetal heart monitoring of low-risk women.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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Who cites it
7 citing papers in PubMed, 36 citations in OpenAlex.
- Link Between Non-Invasive Intrapartum Interventions and Cardiotocography Patterns, Amniotic Fluid Color, and Immediate Neonatal Outcomes.Healthcare (Basel, Switzerland) · 2026Article
- Tending to the machine: The impact of intrapartum fetal surveillance on women in Australia.PloS one · 2024Article
- Development of a clinical prediction model for perinatal deaths in low resource settings.EClinicalMedicine · 2022Article
- Implementation of the Moyo fetal heart rate monitor in district hospitals in Bihar, India: a feasibility study.BMJ open · 2021Article
- Delphi consensus statement on intrapartum fetal monitoring in low-resource settings.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2019Article
- Intermittent auscultation fetal monitoring during labour: A systematic scoping review to identify methods, effects, and accuracy.PloS one · 2019Article
- Observational
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch-informed fetal monitoring guidelines recommend intermittent auscultation (IA) for fetal heart monitoring for low-risk women. However, the use of cardiotocography (CTG) continues to dominate many institutional maternity settings.
methodsA mixed methods intervention study with before and after measurement was undertaken in one secondary level health service to facilitate the implementation of an initiative to encourage the use of IA. The intervention initiative was a decision-making framework called Intelligent Structured Intermittent Auscultation (ISIA) introduced through an education session.
resultsFollowing the intervention, medical records review revealed an increase in the use of IA during labour represented by a relative change of 12%, with improved documentation of clinical findings from assessments, and a significant reduction in the risk of receiving an admission CTG (RR 0.75, 95% CI, 0.60-0.95, p = 0.016).
conclusionThe ISIA informed decision-making framework transformed the practice of IA and provided a mechanism for knowledge translation that enabled midwives to implement evidence-based fetal heart monitoring for low risk women.
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