Document Detail

How to read fetal heart rate tracings in labor. a comparison between acog and nice guidelines.
MedLine Citation:
PMID:  22881995     Owner:  NLM     Status:  Publisher    
Abstract The aim of this study was to assess reproducibility and clinical relevance of current guidelines on Fetal Heart Rate inerpretation in labour. Two Obstetricians with comparable experience analysed one hundred fetal heart rate tracings. One doctor made a first analysis using ACOG 2009 guideline's criteria; the other used NICE 2007 guideline's criteria; subsenquently they repeated the evaluation crossing the guidelines used. The primary outcome of this experiment was to determine the time spent to evaluate the tracings, secondary outcomes were: the intraobserver concordance (concordance of the evaluation with the two systems for each investigator), the inter-observer concordance (concordance between the interpretation given by each investigator) and. the concordance between operators' grading and actual outcome of labor. The interpretation of fetal heart rate tracings was longer using ACOG criteria. The intra observer agreement was significant. The interobserver agreement was better using NICE guidelines The same trend showed for the concordance between investigators' grading and actual outcomes There was more discordance in worse outcomes. Both guidelines are interesting and useful, but NICE seems easier to handle than ACOG.
Giorgia Buscicchio; Lucia Gentilucci; Rossana Martorana; Cristina Martino; Andrea Luigi Tranquilli
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-13
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Clinical Sciences, Università Politecnica Marche.
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