CC BY 4.0 · Surg J (N Y) 2018; 04(01): e23-e28
DOI: 10.1055/s-0038-1632404
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Continuous Electronic Fetal Monitoring during Labor: A Critique and a Reply to Contemporary Proponents

Thomas P. Sartwelle
1   Deans and Lyons, LLP, Houston, Texas
James C. Johnston
2   Global Neurology Consultants, USA and Auckland, New Zealand
› Author Affiliations
Further Information

Publication History

23 October 2017

12 January 2018

Publication Date:
07 March 2018 (online)


A half century after continuous electronic fetal monitoring (EFM) became the omnipresent standard of care for the vast majority of labors in the developed countries, and the cornerstone for cerebral palsy litigation, EFM advocates still do not have any scientific evidence justifying EFM use in most labors or courtrooms. Yet, these EFM proponents continue rationalizing the procedure with a rhetorical fog of meaningless words, misleading statistics, archaic concepts, and a complete disregard for medical ethics. This article illustrates the current state of affairs by providing an evidence-based review penetrating the rhetorical fog of a prototypical EFM advocate.