{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:13:15Z","timestamp":1747149195412,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the correlation between the total decelerations area in the final 120\u2009min before delivery and neonatal cord blood pH in postdate pregnancies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study included women with gestational age greater than 41\u2009weeks, singleton pregnancy, and a category II electronic fetal monitoring (EFM) of at least 30\u2009min during the final 120\u2009min before delivery. We included postdate deliveries of an otherwise low\u2010risk parturient population. Each area was calculated as duration\u2009\u00d7\u2009depth\u2009\u00d7\u20091\/2. Correlations were tested using the Spearman correlation coefficient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 100 EFMs were included in the analysis. Median pH was significantly lower in neonates above the median total deceleration area under the curve (AUC; 7.26 vs. 7.32, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.002). Gestational age at delivery was independently associated with total deceleration AUC above median (adjusted odds ratio 1.21, 95% confidence interval 1.09\u20131.37) controlling for history of previous cesarean delivery and duration of second stage of labor. A significant correlation was found between cord blood pH and total deceleration area (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001, Spearman correlation coefficient \u22120.37).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among women with postdate pregnancies, the total deceleration area and the mean maximum duration of decelerations were negatively correlated with cord blood pH. Further studies are needed to incorporate deceleration area as a method in predicting fetal acidemia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14558","type":"journal-article","created":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T05:38:20Z","timestamp":1667626700000},"page":"870-876","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The correlation between total deceleration and acceleration surface areas on electronic fetal monitoring and neonatal cord blood pH in postdate pregnancies"],"prefix":"10.1002","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1166-5046","authenticated-orcid":false,"given":"Meital","family":"Talmor","sequence":"first","affiliation":[{"name":"Goldman School of Medicine, Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reut","family":"Rotem","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shaare Zedek Medical Center Affiliated with the Hebrew University Medical School of Jerusalem  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adi Y.","family":"Wientraub","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Health Sciences Ben\u2010Gurion University of the Negev, Soroka University Medical Center  Beer Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1532-0157","authenticated-orcid":false,"given":"Shimrit","family":"Yaniv Salem","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Health Sciences Ben\u2010Gurion University of the Negev, Soroka University Medical Center  Beer Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"issue":"6","key":"e_1_2_9_2_1","first-page":"1103","article-title":"Pathologic fetal acidemia","volume":"78","author":"Goldaber K","year":"1991","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2016.04.002"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31822c9198"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/fn.80.3.F246"},{"issue":"3","key":"e_1_2_9_6_1","first-page":"175","article-title":"Postterm pregnancy","volume":"4","author":"Galal M","year":"2012","journal-title":"Facts, Views Vision ObGyn"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2015-308553"},{"issue":"3","key":"e_1_2_9_8_1","first-page":"500","article-title":"Outcomes of pregnancy beyond 37","volume":"108","author":"Heimstad R","year":"2006","journal-title":"Weeks of Gestation"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.6235"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-3334"},{"issue":"12","key":"e_1_2_9_11_1","first-page":"1388","article-title":"Intrapartum fetal monitoring","volume":"80","author":"Eugene Bailey R","year":"2009","journal-title":"Am Fam Physician"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70316-9"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/neo.22-2-e88"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2008.00284.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.10.009"},{"issue":"2","key":"e_1_2_9_16_1","first-page":"CD006066","article-title":"Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour","volume":"2","author":"Alfirevic Z","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.01.026"},{"key":"e_1_2_9_18_1","first-page":"1","article-title":"Cumulative deceleration area: a simplified predictor of metabolic acidemia","volume":"21","author":"Furukawa A","year":"2019","journal-title":"J Matern Fetal Neonatal Med"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2021.11.009"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.05.040"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1113\/JP274937"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/jmf.11.1.50.53"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14299"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l6131"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1666819"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16638"}],"container-title":["International Journal of Gynecology &amp; 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