Intrapartum cardiotocograph interpretation by midwives and trainee obstetricians using a modified definition of a fetal heart rate deceleration

Journal of Obstetrics and Gynaecology

Volumn 30, Issue 7, 2010, Pages 671-674

  Gebeh, A ^a,b   Yulia, A ^a   Ayuk, P ^a  

^a ROYAL VICTORIA INFIRMARY   (United Kingdom)

^b LEICESTER ROYAL INFIRMARY   (United Kingdom)

Author keywords

Cardiotocograph interpretation; CTG; Decelerations

Indexed keywords

ARTICLE; CARDIOTOCOGRAPHY; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; DECELERATION; FETUS HEART RATE; HEALTH PRACTITIONER; HUMAN; INTRAPARTUM CARE; MAJOR CLINICAL STUDY; MIDWIFE; OBSTETRIC CONSULTANT; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; TRAINEE OBSTETRICIAN;

CARDIOTOCOGRAPHY; FEMALE; FETAL DISTRESS; GREAT BRITAIN; HEALTH CARE SURVEYS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEART RATE, FETAL; HUMANS; MIDWIFERY; OBSTETRICS; PREGNANCY; REFERENCE STANDARDS;

EID: 77957827765     PISSN: 01443615     EISSN: 13646893     Source Type: Journal    
DOI: 10.3109/01443615.2010.511323     Document Type: Article

References (16)

1. Alfirevic Z, Devane D, Gyte GM. 2006. Continuous cardiotoco-graphy (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database of Systematic Reviews 3:CD006066.
2. Amer-Wahlin I, Hellsten C, Noren H, Hagberg H, Herbst A, Kjellmer I, et al. 2001. Cardiotocography only versus cardioto-cography plus ST analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial. Lancet 358:534-538.
3. Ayres-de-Campos D, Bernardes J, Costa-Pereira A, Pereira-Leite L. 1999. Inconsistencies in classification by experts ofcardiotocograms and subsequent clinical decision. British Journal of Obstetrics and Gynaecology 106:1307-1310.
4. Devane D, Lalor J, Bonnar J. 2007. The use of intrapartum electronic fetal heart rate monitoring: a national survey. Irish Medical Journal 100:360-362.
5. Devane D, Lalor J. 2005. Midwives' visual interpretation of intrapartum cardiotocographs: intra-and inter-observer agreement. Journal of Advanced Nursing 52:133-141.
6. Donker DK, Van Geijn HP, Hasman A. 1993. Interobserver variation in the assessment of fetal heart rate recordings. European Journal of Obstetrics, Gynecology, and Reproductive Biology 52:21-28.
7. Gaziano EP, Freeman DW. 1977. Analysis ofheart rate patterns preceding fetal death. Obstetrics and Gynecology 50:578-582.
8. Harris JL, Krueger TR, Parer JT. 1982. Mechanisms of late decelerations of the fetal heart rate during hypoxia. American Journal ofObstetrics and Gynecology 144:491-496.
9. Harvey B. 2004. Use of CTG monitoring: are recommendations suitable? RCM Midwives 7:518-520.
10. Moore RM Jr, Jeng LL, Kaczmarek RG, Placek PJ. 1990. Use of diagnostic ultrasound, X-ray examinations, and electronic fetal monitoring in perinatal medicine. Journal of Perinatology 10: 361-365
11. NICE. 2001. Appraisal Committee. Guidance on the use of laparoscopic surgery for inguinal hernia. London: National Institute for Clinical Excellence.
12. Palomaki O, Luukkaala T, Luoto R, Tuimala R. 2006. Intrapartum cardiotocography-the dilemma of interpretational variation. Journal ofPerinatal Medicine 34:298-302
13. RCOG. 2001. The use ofelectronic fetal monitoring: the use and interpretation of cardiotocography in intrapartum fetal surveillance. London: Royal College ofObstetricians and Gynaecologists.
14. Taylor GM, Mires GJ, Abel EW, Tsantis S, Farrell T, Chien PF, et al. 2000. The development and validation of an algorithm for real-time computerised fetal heart rate monitoring in labour. British Journal ofObstetrics and Gynaecology 107:1130-1137.
15. Thacker SB, Stroup D, Chang M. 2001. Continuous electronic heart rate monitoring for fetal assessment during labor. Cochrane Database ofSystematic Reviews 2:CD000063.
16. Williams B, Arulkumaran S. 2004. Cardiotocography and medicolegal issues. Best Practice and Research. Clinical Obstetrics and Gynaecology 18:457-466.