Activity ID
6001Expires
November 7, 2026Format Type
EnduringCME Credit
0.75Fee
$113CME Provider: Louisiana Medical Mutual Insurance Company (LAMMICO)
Description of CME Course
After decades of rigorous comparison in 13 randomized controlled trials, continuous electronic fetal monitoring (CEFM) shows no clinical benefit over intermittent auscultation (IA) but it remains the primary method of fetal surveillance during labor. There is a current disconnect between scientific evidence that supports the use of intermittent auscultation (IA) in low-risk pregnant patients and the use of IA in clinical practice. All professional perinatal organizations encourages the universal adoption of IA as part of a “non-interventional” care model for low-risk obstetric patients. Using IA increases patient satisfaction and decreases the risk of cesarean birth. This case study outlines strategies to providers and hospitals on how to safely adopt IA into clinical practice.
ABMS Member Board Approvals by Type
ABMS Lifelong Learning CME Activity
Family Medicine
Commercial Support?
NoNOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
Educational Objectives
a. List three benefits and limitations of intermittent auscultation (IA) and continuous electronic fetal monitoring (CEFM).
b. Analyze a case study and identify 2 risks associated with the administration of IA in the low-risk population.
c. Adopt 3 risk reduction strategies into your clinical practice when utilizing IA.
Keywords
Electronic Fetal Monitoring, intermittent auscultation, manual palpation
Competencies
Professionalism, Systems-based Practice
CME Credit Type
AMA PRA Category 1 Credit
Practice Setting
Academic Medicine, Inpatient, Outpatient, Rural, Urban, VA/Military