American Journal of Obstetrics & Gynecology
Volume 202, Issue 3 , Pages 258.e1-258.e8 , March 2010

Graded classification of fetal heart rate tracings: association with neonatal metabolic acidosis and neurologic morbidity

  • Colm Elliott, MEng

      Affiliations

    • PeriGen, Princeton, NJ
    • ,
  • Philip A. Warrick, MEng

      Affiliations

    • Department of Biomedical Engineering, McGill University, Montreal, QC, Canada
    • ,
  • Ernest Graham, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Johns Hopkins School of Medicine, Baltimore, MD
    • ,
  • Emily F. Hamilton, MD

      Affiliations

    • PeriGen, Princeton, NJ
    • Department of Obstetrics and Gynecology, Faculty of Medicine, McGill University, Montreal, QC, Canada

Received 29 January 2009 ,Revised 15 April 2009 ,Accepted 4 June 2009.

References 

  1. Chauhan SP, Klauser CK, Woodring TC, Sanderson M, Magann EF, Morrison JC. Intrapartum nonreassuring fetal heart rate tracing and prediction of adverse outcomes: interobserver variability. Am J Obstet Gynecol. 2008;199:623.e1–623.e5
  2. Parer JT, Ikeda T. A framework for standardized management of intrapartum fetal heart rate patterns. Am J Obstet Gynecol. 2007;197:26.e1–26.e6
  3. Macones GA, Hankins GD, Spong CY, Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines. Obstet Gynecol. 2008;112:661–666
  4. Liston R, Sawchuck D, Young D Society of Obstetrics and Gynaecologists of Canada; British Columbia Perinatal Health Program. Fetal health surveillance: antepartum and intrapartum consensus guideline. J Obstet Gynaecol Can. 2007;29(9 Suppl 4):S3–S56Erratum in: J Obstet Gynaecol Can 2007;29:909
  5. Royal College of Obstetricians and Gynecologists. Electronic fetal monitoring: the use and interpretation of cardiotocography in intrapartum fetal surveillance (Evidence-based guideline no. 8). http://guidance.nice.org.uk/CGCAccessed June 30, 2006
  6. Badawi N, Kurinczuk JJ, Keogh JM, et al. Antepartum risk factors for newborn encephalopathy: the Western Australian case-control study. BMJ. 1998;317:1549–1553
  7. Helwig JT, Parer JT, Kilpatrick SJ, Laros RK. Umbilical cord blood acid-base state: what is normal?. Am J Obstet Gynecol. 1996;174:1807–1812
  8. Riley RJ, Johnson JW. Collecting and analyzing cord blood gases. Clin Obstet Gynecol. 1993;36:13–23
  9. Ayres-de-Campos D, Bernardes J. Early, variable and late decelerations: can a consensus be reached in their identification?. Int J Gynaecol Obstet. 1999;65:305–306
  10. Bernardes J, Costa-Pereira AAyres-de-Campos, Van Geijn HP, Pereira-Leite L. Evaluation of interobserver agreement of cardiotocograms. Int J Gynaecol Obstet. 1997;57:33–37
  11. Donker DK, Van Geijn HP, Hasman A. Interobserver variation in the assessment of fetal heart rate recordings. Eur J Obstet Gynaecol Reprod Biol. 1993;52:21–28
  12. Taylor GM, Mires GL, Abel EW, et al. The development and validation of an algorithm for real time computerized fetal heart rate monitoring in labor. Br J Obstet Gynaecol. 2000;107:1130–1137
  13. Todros T, Preve CU, Plazzotta C, Biocalti M, Lombardo P. Fetal heart rate tracings: observers versus the computer assessment. Eur J Obstet Gynecol Reprod Biol. 1996;68:83–86
  14. Vergara IA, Norambuena T, Ferrada E, Slater AW, Melo F. StAR: a simple tool for the statistical comparison of ROC curves. BMC Bioinformatics 20085;9:265.
  15. Jarvi JG, Haynor DR, Longsstreth WT. Assessing the usefulness of diagnostic tests. AJNR. 1996;17:1255–1258
  16. Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Med Decis Making. 1991;11:88–94
  17. Houn F, Bright RA, Bushar HF, et al. Study design in the evaluation of breast cancer imaging technologies. Acad Radiol. 2000;7:684–692
  18. Becher JC, Stenson BJ, Lyon AJ. Is intrapartum asphyxia preventable?. BJOG. 2007;114:1442–1444
  19. Smith J, Wells L, Dodd K. The continuing fall in incidence of hypoxic-ischaemic encephalopathy in term infants. BJOG. 2000;107:461–466
  20. Hull J, Dodd KL. Falling incidence of hypoxic-ischaemic encephalopathy in term infants. Br J Obstet Gynaecol. 1992;99:386–391

 This study was supported in part by LMS Medical Systems, Montreal, QC, Canada with PeriGen, Princeton, NJ.

 Reprints not available from the authors.

 Cite this article as: Elliott C, Warrick PA, Graham E, et al. Graded classification of fetal heart rate tracings: association with neonatal metabolic acidosis and neurologic morbidity. Am J Obstet Gynecol 2010;202:258.e1-8.

PII: S0002-9378(09)00648-6

doi: 10.1016/j.ajog.2009.06.026

American Journal of Obstetrics & Gynecology
Volume 202, Issue 3 , Pages 258.e1-258.e8 , March 2010

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