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Clark, S.L., Nageotte, M.P., Garite, T.J., Thomas, J., Garite, M.D., Roger, K., et al. (2013) Intrapartum management of category II fetal heart rate tracings: towards standardization of care. American Journal of Obstetrics and Gynecology. doi:10.1016/j.ajog.2013.04.030 Epub ahead of print

has been cited by the following article:

• TITLE: Interpretation of British experts’ illustrations of fetal heart rate (FHR) decelerations by Consultant Obstetricians, registrars and midwives: A prospective study—Reasons for major disagreement with experts and implications for clinical practice

  AUTHORS: Shashikant L. Sholapurkar

  KEYWORDS: Fetal Heart Rate Decelerations; Electronic Fetal Monitoring; Cardiotocograph; Intrapartum Monitoring

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.3 No.6, July 17, 2013

  ABSTRACT: Objective: To test the reproducibility of British experts’ (eFM, K2MS, Gibb and Arulkumaran) [1-3] illustrations of fetal heart rate (FHR) decelerations by trained British Obstetricians and midwives. To analyze reasons for any discrepancies by examining factors relating to the participants, British experts’ descriptions and NICE guidelines [4]. Design: Prospective observational study. Setting: National Health Service (NHS) Hospitals. Participants: 38 Obstetric Consultants, 49 registrars and 45 midwives. Methods: Printed questionnaire. Statistical Analysis: Fisher’s Exact test. Results: This largest study of its kind showed almost unbelievably high disconnect between CTG interpretation by experts and participants. 98% - 100% midwives, 80% - 100% Registrars and 74% - 100% Consultants categorized FHR decelerations differently from the five experts’ illustrations/interpretations (p Conclusions: The high degree of disagreement with the experts’ illustrations (p