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Correspondence
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Volume 335:287-289 July 25, 1996 Number 4
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Electronic Fetal Monitoring in Predicting Cerebral Palsy

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 by Nelson, K. B.
To the Editor: Nelson et al. (March 7 issue)1 studied the outcome of cerebral palsy and its association with specific heart-rate patterns on electronic fetal monitoring. Their analysis confirms, and Dr. MacDonald's companion editorial2 supports, previous studies and the generally held concept that most cerebral palsy is due not to intrapartum hypoxia, but to events that occurred earlier in pregnancy. Unfortunately, the authors' conclusion that their "findings arouse concern that . . . many cesarean sections [will] be performed without benefit and with the potential for harm" assumes that the sole end point to be averted by cesarean section, undertaken . . . [Full Text of this Article]

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