{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T14:46:25Z","timestamp":1788792385642,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T00:00:00Z","timestamp":1673222400000},"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 investigate whether an association exists between deceleration and acceleration areas on continuous fetal cardiotocography (<jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content>) and neonatal encephalopathy (<jats:styled-content style=\"fixed-case\">NE<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single center, retrospective case\u2013control study was conducted to compare CTG characteristics of low\u2010risk pregnancies (35\u2009weeks of gestation or more), complicated by moderate to severe NE with two matched controls for every case. Controls were matched by gestational age and cord blood pH. We analyzed the intrapartum CTG recordings by calculation of the deceleration and acceleration areas and the ratio between the two.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the period between 2013 and 2019, we identified 95 cases of low\u2010risk pregnancies that were complicated by moderate to severe NE in our center. Thirty\u2010three (34.7%) deliveries were excluded, mostly because of an insufficient duration of the CTG recordings. The remaining 62 cases were matched with 123 controls. We found that NE was significantly associated with an increased total deceleration area, a decreased total acceleration area, and a lower acceleration\u2010to\u2010deceleration ratio.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>NE was significantly associated with increased total deceleration area, decreased total acceleration area, and a lower acceleration\u2010to\u2010deceleration ratio, independent of cord blood pH. Development of a computerized real\u2010time analysis of fetal heart rate tracings may contribute to making these measurements a more valid clinical tool.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14638","type":"journal-article","created":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T23:28:40Z","timestamp":1672097320000},"page":"1061-1068","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Intrapartum deceleration and acceleration areas are associated with neonatal encephalopathy"],"prefix":"10.1002","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0724-9066","authenticated-orcid":false,"given":"Yael","family":"Geva","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer Sheva 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