Background

Despite much research — and contentious debate — into the widespread use of cardiotocography in fetal monitoring, the impact of intermittent auscultation remains an area that is under-explored.

Objective

This study reviews the available literature concerning women’s experience of intermittent auscultation and examines its impact on labour.

Methods

A literature search was conducted using CINAHL, APA Psych and MEDLINE databases and the findings were subjected to thematic analysis, generating key themes of ‘choice’, ‘communication’ and ‘self-efficacy’.

Findings

The study highlights issues relating to choice and communication in fetal monitoring, with many women not feeling adequately informed about their options. Some women had a positive experience of intermittent monitoring during labour, but others found it disruptive or detrimental. The study reveals tensions between the demands of adequately assessing fetal wellbeing and the provision of woman-centred care.

Conclusion

Fetal monitoring practices and how they are framed and enacted has an impact on women’s experience of labour. Labour care that prioritises fetal monitoring can decentre the needs of the labouring women with potentially detrimental effects. This can be ameliorated by clear communication and the promotion of informed decision making by the midwife, which is vital for the facilitation of positive birth experiences and provision of respectful, personalised care.