Fetal manipulation for facilitating tests of fetal wellbeing

Abstract

Background: Manual fetal manipulation has been suggested to improve the efficiency of antepartum fetal heart rate testing.

Objectives: The objective of this review was to assess the merits or adverse effects of the use of manual fetal manipulation in conjunction with tests of fetal wellbeing.

Search strategy: We searched the Cochrane Pregnancy and Childbirth Group trials register in June 2001.

Selection criteria: All published and unpublished randomized controlled trials assessing the merits of the use of fetal manipulation in conjunction with tests of fetal wellbeing.

Data collection and analysis: Both reviewers independently extracted data and assessed trial quality. Authors of published and unpublished trials were contacted for further information.

Main results: Only two trials with a total of 1090 women with 2110 episodes of participation were included. Manual fetal manipulation did not decrease the incidence of non-reactive antenatal cardiotocography test (odds ratio 1.28 confidence interval 0.94-1.74).

Reviewer's conclusions: Manual fetal manipulation has not been shown to reduce the incidence of non-reactive cardiotocography. Trials of manual fetal manipulation should take into consideration that there have not been any benefits demonstrated as yet.