The Dublin Trial of Fetal Heart Rate Monitoring: The Final Word?

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Abstract
Although superior to the five other randomized controlled trials of electronic fetal monitoring, the Dublin Trial cannot be considered the last word. Use of paper speed at 1 cm per minute makes it impossible to detect beat‐to‐beat variability, which is vital to correct interpretation of a tracing. Nevertheless, there were half as many neonatal seizures in the electronically monitored group than in the auscultated group. Neither the criteria for abnormal FHR tracings nor the frequency and duration of auscultation is translatable to obstetric practice in North America.

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