Document Detail


Assessment of the concordance among 2-tier, 3-tier, and 5-tier fetal heart rate classification systems.
MedLine Citation:
PMID:  22071068     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: In 2008, a National Institute of Child Health and Human Development/Society for Maternal-Fetal Medicine-sponsored workshop on electronic fetal monitoring recommended a new fetal heart tracing interpretation system. Comparison of this 3-tier system with other systems is lacking. Our purpose was to determine the relationships between fetal heart rate categories for the 3 existing systems.
METHODS: Three Maternal-Fetal Medicine specialists reviewed 120 fetal heart rates. All tracings were from term, singleton pregnancies with known umbilical artery pH. The fetal heart rates were classified by a 2-tier, 3-tier, and 5-tier system.
RESULTS: Each Maternal-Fetal Medicine examiner reviewed 120 fetal heart rate segments. When compared with the 2-tier system, 0%, 54%, and 100% tracings in categories 1, 2, and 3 were "nonreassuring." There was strong concordance between category 1 and "green" as well as category 3 and "red" tracings.
CONCLUSION: The 3-tier and 5-tier systems were similar in fetal heart rate interpretations for tracings that were either very normal or very abnormal. Whether one system is superior to the others in predicting fetal acidemia remains unknown.
Authors:
Cynthia Gyamfi Bannerman; William A Grobman; Leah Antoniewicz; Maria Hutchinson; Sean Blackwell
Related Documents :
18450238 - Fetal ultrasound biometry: normative charts for a puerto rican population.
22103648 - Improving local pca in pseudo phase space for fetal heart rate estimation from single l...
2643068 - Sonographic evaluation of the normal developmental anatomy of the fetal cerebral ventri...
15807808 - Inter-instrumental variation of skin capacitance measured with the corneometer.
10685238 - Ureaplasma/mycoplasma-infected amniotic fluid: pregnancy outcome in treated and nontrea...
24439718 - Feto-maternal outcomes of pregnancy complicated by ovarian sex-cord stromal tumor: a sy...
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-06-24
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  205     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-11-10     Completed Date:  2012-02-02     Revised Date:  2013-08-09    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  288.e1-4     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 Mosby, Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, Columbia University, New York, NY, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cardiotocography / methods*
Female
Heart Rate, Fetal / physiology*
Humans
Labor, Obstetric
Male
National Institute of Child Health and Human Development (U.S.)
Pregnancy
Retrospective Studies
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  An initial miscarriage is associated with adverse pregnancy outcomes in the following pregnancy.
Next Document:  Discussion: 'Bariatric surgery and obstetric outcomes' by Josefsson et al.