Computerised interpretation of fetal heart rate during labour (INFANT): a randomised controlled trial

The Lancet

Volumn 389, Issue 10080, 2017, Pages 1719-1729

  Brocklehurst, Peter ^y   Field, David ^y   Greene, Keith ^y   Juszczak, Ed ^y   Kenyon, Sara ^y   Linsell, Louise ^y   Mabey, Christopher ^y   Newburn, Mary ^y   Plachcinski, Rachel ^y   Quigley, Maria ^y   Schroeder, Elizabeth ^y   Steer, Philip ^y   Keith, Robert ^y   Johns, Nina ^a   Johnston, Tracey ^a   Barnfield, Gemma ^a   Davies, Karen ^a   Johnson, Mark ^b   Patterson, Holly ^b   Montague, Imogen ^c   Watmore, Sally ^c   Stolton, Alison ^c   Parisaei, Maryam ^d   McGhee, Natasha ^d   Segovia, Silvia ^d   Martindale, Elizabeth ^e,n   Jackson, Hilary ^e,n   Holleran, Josephine ^e   Roberts, Devender ^f   Holt, Siobhan ^f   Dragovic, Bosko ^g   Willmott Powell, Miriam ^g   Hutchinson, Laura ^g   Toth, Benedek ^g   Chandler, Gemma ^g   Ridley, Suzanne ^g   Bugg, George ^h,l   Molnar, Anna ^h   Lochrie, Denise ^h   Connor, Jillian ⁱ   Howe, David ⁱ   Head, Katie ⁱ   Wellstead, Sue ⁱ   Mathers, Alan ^j,q   Walker, Laura ^j   Crawford, Isobel ^j   Davies, David ^k   Garner, Zoe ^k   Galloway, Lucy ^k   Davies, Yvette ^l   Smith, Carys ^l   Perkins, Gill ^l   Geary, Mike ^m   Walsh, Fiona ^m   Nagle, Ursula ^m   O’malley, Louise ⁿ   Katakam, Narmada ^o   White, Heather ^o   Tanton, Emma ^o   Hamilton, Rosie ^p   Glanowski, Hilary ^p   Forde, Ethel ^p   Macdonald, Christina ^q   McKay, Lorna ^q   Edoziern, Leroy ^r   Doran, Paula ^r   Dillon, Julie ^r   Taylor, Cara ^r   Evans, Paula ^r   Miller, Veronica ^s   Wayne, Christopher ^s   Tebbutt, Julie ^s   Hendy, Ellie ^s   O’brien, Patrick ^t   Subair, Seni ^t   Dent, Helen ^t   Mallet, Camille ^t   Quenby, Siobhan ^u   Hillen, Jane ^u   Young, Peter ^v   Harrison, Tracey ^v   Wood, Louise ^v   Arya, Rita ^w   Roughley, Lindsay ^w   Sorinola, Olanrewaju ^x   Rogers, Carole ^x   Phipps, Janet ^x   Arndtz, Bob ^y   Azzopardi, Denis ^y   Chivers, Zoe ^y   Cole, Andy ^y   Parmar, Max ^y   Roberts, Tracy ^y   Sanders, Julia ^y   Tuffnell, Derek ^y   Ashby, Deborah ^y   Norman, Jane ^y   Shennan, Andy ^y   Spiby, Helen ^y   Tin, Win ^y   more..

^a Birmingham Womenâ s Hospital   (United Kingdom)

^b CHELSEA AND WESTMINSTER HOSPITAL   (United Kingdom)

^c DERRIFORD HOSPITAL   (United Kingdom)

^d HOMERTON UNIVERSITY HOSPITAL   (United Kingdom)

^e Lancashire Women Newborn Centre   (United Kingdom)

^f LIVERPOOL WOMEN S HOSPITAL   (United Kingdom)

^g NORTHWICK PARK HOSPITAL   (United Kingdom)

^h NOTTINGHAM CITY HOSPITAL   (United Kingdom)

ⁱ PRINCESS ANNE HOSPITAL   (United Kingdom)

^j Princess Royal Hospital   (United Kingdom)

^k QUEEN ALEXANDRA HOSPITAL   (United Kingdom)

^l Queenâ s Medical Centre   (United Kingdom)

^m ROTUNDA HOSPITAL   (Ireland)

ⁿ ROYAL BLACKBURN HOSPITAL   (United Kingdom)

^o ROYAL BOLTON HOSPITAL   (United Kingdom)

^p ROYAL DERBY HOSPITAL   (United Kingdom)

^q Southern General Hospital   (United Kingdom)

^r St Maryâ s Hospital   (United Kingdom)

^s STOKE MANDEVILLE HOSPITAL   (United Kingdom)

^t UNIVERSITY COLLEGE LONDON HOSPITALS   (United Kingdom)

^u UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST   (United Kingdom)

^v UNIVERSITY HOSPITAL OF NORTH STAFFORDSHIRE   (United Kingdom)

^w WARRINGTON HOSPITAL   (United Kingdom)

^x WARWICK HOSPITAL   (United Kingdom)

^y NONE

more..

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BRAIN DISEASE; CARDIOTOCOGRAPH; CLINICAL OUTCOME; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; FEEDING DIFFICULTY; FEMALE; FETUS; FETUS HEART RATE; FETUS MONITORING; GESTATION PERIOD; HUMAN; INCIDENCE; INTENTION TO TREAT ANALYSIS; LABOR; MAJOR CLINICAL STUDY; MULTICENTER STUDY; NEWBORN DEATH; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY TRACT DISEASE; STILLBIRTH; CARDIOTOCOGRAPHY; CLINICAL TRIAL; GESTATIONAL AGE; NEWBORN; OBSTETRIC DELIVERY; PHYSIOLOGY; PREGNANCY; PREGNANCY OUTCOME; PROCEDURES; SIGNAL PROCESSING;

ADULT; CARDIOTOCOGRAPHY; DECISION SUPPORT TECHNIQUES; DELIVERY, OBSTETRIC; FEMALE; GESTATIONAL AGE; HEART RATE, FETAL; HUMANS; INFANT, NEWBORN; LABOR, OBSTETRIC; PREGNANCY; PREGNANCY OUTCOME; SIGNAL PROCESSING, COMPUTER-ASSISTED;

EID: 85015904194     PISSN: 01406736     EISSN: 1474547X     Source Type: Journal    
DOI: 10.1016/S0140-6736(17)30568-8     Document Type: Article

References (30)

1. 1 Alfirevic, Z, Devane, D, Gyte, GML, Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database Syst Rev, 5, 2013 CD006066.
2. 2 Murphy, KW, Johnson, P, Moorcraft, P, Pattinson, R, Russell, V, Turnbull, A, Birth asphyxia and the intrapartum cardiotocograph. Br J Obstet Gynaecol 97 (1990), 470–479.
3. 3 Ennis, M, Vincent, CA, Obstetric accidents: a review of 64 cases. BMJ 300 (1990), 1365–1367.
4. 4 Gaffney, G, Sellers, S, Flavell, V, Squier, M, Johnson, A, Case-control study of intrapartum care, cerebral palsy, and perinatal death. BMJ 308 (1994), 743–750.
5. 5 K2s Medical Systems. K2MS Guardian: full electronic capture of patient information during childbirth. http://www.k2ms.com/products/guardian.aspx# (accessed Dec 5, 2016).
6. 6 Keith, RDF, Beckley, S, Garibaldi, JM, Westgate, JA, Ifeachor, EC, Greene, KR, A multicentre comparative study of 17 experts and an intelligent computer system for managing labour using the cardiotocogram. Br J Obstet Gynaecol 102 (1995), 688–700.
7. 7 Skinner JF, Harris M, Greene KR. Computerised decision support for managing labour using the cardiotocogram: 500 cases with the range of abnormality. 28th British Congress of Obstetrics and Gynaecology; Harrogate, UK; June 30–July 4, 1998.
8. 8 Keith, RDF, Greene, KR, Development, evaluation and validation of an intelligent decision support tool for the management of labour. Chang, AMZ, Rogers, MS, (eds.) Analysis of complex data in obstetrics, 1994, Bailliere Tindall, London, 583–605.
9. 9 Ugwamadu, A, Steer, P, Parer, B, et al. Time to optimise and enforce training in interpretation of intrapartum cardiotocograph. BJOG 123 (2016), 866–869.
10. 10 National Collaborating Centre for Women's and Children's Health (UK). Intrapartum care for healthy women and babies, 2014, RCOG Press, London.
11. 11 Brocklehurst, P, A study of an intelligent system to support decision making in the management of labour using the cardiotocograph—the INFANT study protocol. BMC Pregnancy Childbirth, 16, 2016, 10.
12. 12 Confidential Enquiry into Maternal and Child Health. Perinatal mortality surveillance, 2004: England, Wales and Northern Ireland, 2006, Confidential Enquiry into Maternal and Child Health, London.
13. 13 Johnson, S, Marlow, N, Wolke, D, et al. Validation of a parent report measure of cognitive development in very preterm infants. Dev Med Child Neurol 46 (2004), 389–397.
14. 14 Johnson, S, Wolke, D, Marlow, N, Developmental assessment of preterm infants at 2 years: validity of parent reports. Dev Med Child Neurol 50 (2008), 58–62.
15. 15 Lucas, DN, Yentis, SM, Kinsella, SM, Holdcroft, A, May, AE, Wee, M, et al. Urgency of caesarean section: a new classification. J Roy Soc Med 93 (2000), 346–350.
16. 16 Kurinczuk, JJ, Barralet, JH, Redshaw, M, Brocklehurst, P, Report to the Patient Safety Research Programme (Policy Research Programme of the Department of Health). Monitoring the incidence of neonatal encephalopathy—what next?. https://www.npeu.ox.ac.uk/downloads/files/reports/coNsEnsus-Monitoring-NE-Report.pdf (accessed Dec 5, 2016).
17. 17 University of Leicester. The Neonatal Survey and Yorkshire Neonatal Network Report 2005, 2005, University of Leicester, Leceister.
18. 18 Westgate, J, Harris, M, Curnow, J, Greene, KR, Plymouth randomised trial of CTG only versus ST waveform plus CTG for intrapartum monitoring; 2400 cases. Am J Obstet Gynecol 169 (1993), 1151–1160.
19. 19 Westgate, J, Garibaldi, JM, Greene, KR, Umbilical cord blood gas analysis at delivery; a time for quality data. Br J Obstet Gynaecol 101 (1994), 1054–1063.
20. 20 Goldaber, KG, Gilstrap, LC, Leveno, KJ, Dax, JS, McIntyre, DD, Pathologic fetal acidemia. Obstet Gynecol 78 (1991), 1103–1107.
21. 21 Eskes, TKAB, Jongsma, HW, Houx, PCW, Percentiles for gas values in human umbilical cord blood. Eur J Obstet Gynecol Reprod Biol 14 (1983), 341–346.
22. 22 Yelland, LN, Salter, AB, Ryan, P, Relative risk estimation in randomized controlled trials: a comparison of methods for independent observations. Int J Biostat, 7, 2011, 5.
23. 23 Johnson, A, Follow-up studies: a case for a standard minimum data set. Arch Dis Child 76 (1997), F61–F63.
24. 24 National Perinatal Epidemiology Unit. Disability and perinatal care: measurement of health status at two years. A report of two working groups convened by the National Perinatal Epidemiology Unit and the former Oxford Regional Health Authority, 1994, National Perinatal Epidemiology Unit, Oxford.
25. 25 Pocock, S, When (not) to stop a clinical trial for benefit. JAMA 294 (2005), 2228–2230.
26. 26 Berglund, S, Grunewald, C, Pettersson, H, Cnattingus, S, Severe asphyxia due to delivery-related malpractice in Sweden 1990–2005. BJOG 115 (2008), 316–323.
27. 27 Nunes, I, Ayres-de-Campos, D, Ugwumadu, A, et al. Central fetal monitoring with and without computer analysis. A randomised controlled trial. Am J Obstet Gyecol 129 (2017), 83–90.
28. 28 Ignatov, P, Atanasov, B, Indirect standard cardiotocography plus fetal blood sampling versus indirect quantitative cardiotocography— a randomised comparative study in intrapartum monitoring. Akusherstvo I Ginekologia 51 (2012), 3–10.
29. 29 Freemantle, N, Calvert, M, Wood, J, Eastaugh, J, Griffin, C, Composite outcomes in randomized trials: greater precision but with greater uncertainty?. JAMA 289 (2003), 2554–2559.
30. 30 Pocock, S, Stone, G, The primary outcome fails—what next?. N Engl J Med 375 (2016), 861–970.