What is the main advantage of intermittent auscultation versus continuous EFM?

Intermittent auscultation is primarily advantageous because it allows for greater maternal movement and comfort during labor. This method involves periodically listening to the fetal heart rate using a handheld Doppler device or a fetoscope. As a result, mothers can change positions more freely, walk around, and engage in various comfort measures, which can enhance their overall experience during labor.

In contrast, continuous electronic fetal monitoring (EFM) usually requires the mother to remain in bed and limits her movement due to the placement of equipment, which can cause discomfort and reduce mobility. This increased comfort and ability to actively participate in their labor makes intermittent auscultation an appealing option for many women, particularly in low-risk situations where continuous monitoring may not be necessary. The emphasis on maternal comfort can also foster a more positive and less stressful labor experience.