Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Description, evaluation and clinical decision making according to various fetal heart rate patterns. Inter-observer and regional variability.

Research output: Contribution to journalJournal articleResearch

  1. Induction of labor with high- or low-dosage oral misoprostol - a Danish descriptive retrospective cohort study 2015-16

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Maternal age and risk of cesarean section in women with induced labor at term - a Nordic register-based study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Continuous focus on preventive strategies and follow-up is important for a change

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Akutte alvorlige sygdomme hos gravide og fødende

    Research output: Chapter in Book/Report/Conference proceedingBook chapterEducationpeer-review

  2. Characteristics, management and outcomes of very preterm triplets in 19 European regions

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Mode of delivery and mortality and morbidity for very preterm singleton infants in a breech position: A European cohort study

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations
At 10 Danish obstetrical departments, 116 residents (42 senior and 74 junior) participated in a study to assess inter-observer and regional variability in the description and evaluation of and clinical decision regarding 11 fetal heart rate patterns. The 11 traces included normal as well as pathological patterns, and normal as well as clinically asphyxiated babies. Five antepartum and six intrapartum patterns were included. A total of 1,276 descriptions and evaluations were obtained. The degree of agreement in description of fetal heart rate changes was high regarding the baseline and the presence of silent or sinusoidal pattern (87-94% on an arbitrary 0-100% scale), and low regarding the assessment of variability and type of deceleration (50-72%). The degree of agreement in interpreting heart rate patterns was 59% (on an arbitrary 0-100% scale). Senior residents generally interpreted the changes as indicative of less serious fetal stress than did their junior colleagues, explaining why junior residents 30% more frequently than their older colleagues found an indication for Cesarean section. Relatively low regional inter-observer agreement scores were primarily due to low agreement between departments, especially between departments far apart. It is concluded that we still need a scientific clarification of which specific heart rate changes are the best predictors of fetal stress. Artificial intelligence programs for interpreting fetal cardiotocograms and ECG signals constitute one promising prospect.
Translated title of the contributionDescription, evaluation and clinical decision making according to various fetal heart rate patterns. Inter-observer and regional variability.
Original languageEnglish
JournalActa Obstetricia et Gynecologica Scandinavica
Volume71
Issue number1
Pages (from-to)48-53
Number of pages6
ISSN0001-6349
Publication statusPublished - 1992

ID: 32533159