{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T12:10:00Z","timestamp":1785499800311,"version":"3.56.0"},"reference-count":31,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2007,9,1]],"date-time":"2007-09-01T00:00:00Z","timestamp":1188604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2007,9,1]],"date-time":"2007-09-01T00:00:00Z","timestamp":1188604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["ajog.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics and Gynecology"],"published-print":{"date-parts":[[2007,9]]},"DOI":"10.1016\/j.ajog.2007.06.053","type":"journal-article","created":{"date-parts":[[2007,9,8]],"date-time":"2007-09-08T07:18:08Z","timestamp":1189235888000},"page":"301.e1-301.e8","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":58,"title":["Intrapartum electronic fetal heart rate monitoring and the identification of metabolic acidosis and hypoxic-ischemic encephalopathy"],"prefix":"10.1016","volume":"197","author":[{"given":"Joel D.","family":"Larma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anadir M.","family":"Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia J.","family":"Holcroft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard E.","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela K.","family":"Donohue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernest M.","family":"Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajog.2007.06.053_bib1","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1056\/NEJM199603073341001","article-title":"Uncertain value of electronic fetal monitoring in predicting cerebral palsy","volume":"334","author":"Nelson","year":"1996","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ajog.2007.06.053_bib2","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1097\/01.AOG.0000152383.27220.26","article-title":"Can electronic fetal monitoring identify preterm neonates with cerebral white matter injury?","volume":"105","author":"Althaus","year":"2005","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib3","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1016\/S0022-3476(88)80161-6","article-title":"Intrapartum asphyxia: a rare cause of cerebral palsy","volume":"112","author":"Blair","year":"1988","journal-title":"J Pediatr"},{"key":"10.1016\/j.ajog.2007.06.053_bib4","unstructured":"American College of Obstetricians and Gynecologists. Umbilical artery blood acid-base analysis: Technical Bulletin No.: 216. Washington (DC): The College; 1995."},{"key":"10.1016\/j.ajog.2007.06.053_bib5","first-page":"1103","article-title":"Pathologic fetal acidemia","volume":"78","author":"Goldaber","year":"1991","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib6","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1016\/0002-9378(89)90410-9","article-title":"Diagnosis of birth asphyxia on the basis of fetal pH, Apgar score, and newborn cerebral dysfunction","volume":"161","author":"Gilstrap","year":"1989","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib7","first-page":"96","article-title":"Fetal monitoring: is it worth it?","volume":"45","author":"Quilligan","year":"1975","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib8","first-page":"1","article-title":"Background. In: Neonatal encephalopathy and cerebral palsy: defining the pathogenesis and pathology","year":"2003"},{"key":"10.1016\/j.ajog.2007.06.053_bib9","series-title":"Neonatal encephalopathy and cerebral palsy: defining the pathogenesis and pathology","first-page":"73","article-title":"Criteria required to define an acute intrapartum hypoxic event as sufficient to cause cerebral palsy","year":"2003"},{"key":"10.1016\/j.ajog.2007.06.053_bib10","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1016\/S0002-9378(97)70079-6","article-title":"Electronic fetal heart rate monitoring: research guidelines for interpretation","volume":"177","year":"1997","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib11","unstructured":"American College of Obstetricians and Gynecologists. Antepartum fetal surveillance: Practice Bulletin No.: 9. Washington (DC): The College: 1999."},{"key":"10.1016\/j.ajog.2007.06.053_bib12","unstructured":"American College of Obstetricians and Gynecologists. Fetal heart rate patterns: monitoring, interpretation, and management: Technical Bulletin No.: 207. Washington (DC): The College: 1995."},{"key":"10.1016\/j.ajog.2007.06.053_bib13","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1001\/archneur.1976.00500100030012","article-title":"Neonatal encephalopathy following fetal distress: a clinical and electroencephalographic study","volume":"33","author":"Sarnat","year":"1976","journal-title":"Arch Neurol"},{"key":"10.1016\/j.ajog.2007.06.053_bib14","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/0002-9378(85)90298-4","article-title":"Estimation of fetal weight with the use of head, body, and femur measurements: a prospective study","volume":"151","author":"Hadlock","year":"1985","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib15","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1053\/plac.2001.0777","article-title":"The epidemiology of placental infarction at term","volume":"23","author":"Becroft","year":"2002","journal-title":"Placenta"},{"key":"10.1016\/j.ajog.2007.06.053_bib16","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/S0002-9378(98)70619-2","article-title":"Umbilical arteriovenous PO2 and PCO2 differences and neonatal morbidity in term infants with severe acidosis","volume":"178","author":"Belai","year":"1998","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib17","doi-asserted-by":"crossref","first-page":"363","DOI":"10.2307\/2529786","article-title":"An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"10.1016\/j.ajog.2007.06.053_bib18","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1542\/peds.109.4.650","article-title":"Placental features in preterm infants with periventricular leukomalacia","volume":"109","author":"Kumazaki","year":"2002","journal-title":"Pediatrics"},{"key":"10.1016\/j.ajog.2007.06.053_bib19","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1001\/jama.284.11.1417","article-title":"Chorioamnionitis as a risk factor for cerebral palsy: a meta-analysis","volume":"284","author":"Wu","year":"2000","journal-title":"JAMA"},{"key":"10.1016\/j.ajog.2007.06.053_bib20","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1016\/j.ajog.2004.06.058","article-title":"Neonatal cerebral white matter injury in preterm infants is associated with culture positive infections and only rarely with metabolic acidosis","volume":"191","author":"Graham","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib21","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1016\/S0002-9378(98)70156-5","article-title":"Fetal heart rate patterns in postasphyxiated fetal lambs with brain damage","volume":"179","author":"Ikeda","year":"1998","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib22","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S0002-9378(98)70621-0","article-title":"Physiologic and histologic changes in near-term fetal lambs exposed to asphyxia by partial umbilical cord occlusion","volume":"178","author":"Ikeda","year":"1998","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib23","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/0002-9378(82)90631-7","article-title":"Fetal heart rate accelerations and late decelerations during the course of intrauterine death in chronically catheterized rhesus monkeys","volume":"144","author":"Murata","year":"1982","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib24","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1067\/mob.2003.183","article-title":"Intrapartum fetal heart rate patterns in the prediction of neonatal acidemia","volume":"188","author":"Williams","year":"2003","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib25","first-page":"285","article-title":"Predictive value of electronic fetal monitoring for intrapartum fetal asphyxia with metabolic acidosis","volume":"93","author":"Low","year":"1999","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib26","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/j.bpobgyn.2004.03.001","article-title":"The CTG and the timing and mechanism of fetal neurological injuries","volume":"18","author":"Schifrin","year":"2004","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib27","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1097\/01.gco.0000192984.15095.7c","article-title":"Fetal hypoxic and ischemic injuries","volume":"18","author":"Schifrin","year":"2006","journal-title":"Curr Opin Obstet Gynecol"},{"key":"10.1016\/j.ajog.2007.06.053_bib28","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1515\/JPM.2004.140","article-title":"Comparison of intrapartum fetal heart rate tracings in patients with neonatal seizures vs no seizures: what are the differences?","volume":"32","author":"Williams","year":"2004","journal-title":"J Perinat Med"},{"key":"10.1016\/j.ajog.2007.06.053_bib29","doi-asserted-by":"crossref","first-page":"39","DOI":"10.3109\/00016349409013391","article-title":"Is fetal heart rate variability a good predictor of fetal outcome?","volume":"73","author":"Samueloff","year":"1994","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.ajog.2007.06.053_bib30","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.ejogrb.2004.04.013","article-title":"Prediction of neonatal state by computer analysis of fetal heart rate tracings: the antepartum arm of the SisPorto multicentre validation study","volume":"118","author":"Ayres-de-Campos","year":"2005","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ajog.2007.06.053_bib31","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1111\/j.1471-0528.1997.tb10643.x","article-title":"The intrapartum CTG prior to neonatal encephalopathy at term: a case-control study","volume":"104","author":"Spencer","year":"1997","journal-title":"BJOG"}],"container-title":["American Journal of Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937807008290?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937807008290?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T10:24:15Z","timestamp":1757586255000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002937807008290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,9]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2007,9]]}},"alternative-id":["S0002937807008290"],"URL":"https:\/\/doi.org\/10.1016\/j.ajog.2007.06.053","relation":{},"ISSN":["0002-9378"],"issn-type":[{"value":"0002-9378","type":"print"}],"subject":[],"published":{"date-parts":[[2007,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Intrapartum electronic fetal heart rate monitoring and the identification of metabolic acidosis and hypoxic-ischemic encephalopathy","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics and Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajog.2007.06.053","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2007 Mosby, Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}