Fetal monitoring during labour may be expected to decrease perinatal losses and the number of infants born with brain damage. In a prospective study of intrapartum fetal monitoring in selected high-risk pregnancies in a Winnipeg hospital the monitoring rate was 26.5% and the cesarean section rate in the monitored group was 22.0%. The fetal outcome in the monitored group was better than in the unmonitored group. The establishment of a fetal intensive care unit is believed to be strongly desirable in improving fetal surveillance during labour. Fetal monitors should be stationed in the delivery room as well as in the first-stage room. Resume: On peut esperer que la surveil¬ lance du fetus pendant le travail pourra diminuer la mortalite perinatale et egalement le nombre de nouveau-nes qui sont porteurs d'une lesion c6rebrale. Dans une etude prospective de la surveillance fetale intrapartum de cas s6lectionn6s de grossesse a risque 6leve, effectu6e dans un hdpital de Winnipeg, la proportion de cas sur-veill6s etait de 26.5% et la proportion de
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