{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T14:57:19Z","timestamp":1779289039595,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T00:00:00Z","timestamp":1681171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the significance of not meeting Dawes\u2013Redman criteria on computerised cardiotocography in high\u2010risk pregnancies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>UK university hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>High\u2010risk pregnancies undergoing antenatal assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We interrogated the database for records of computerised fetal heart rate assessment and pregnancy outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Neonatal outcome and stillbirths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Excluding duplicate assessment in the same pregnancy, 14\u2009025 records with complete information on the criteria of normality having been met and the outcome of the pregnancy were available. Criteria were not met for 907 records (6.46%). The gestational age of assessment was lower in the group not meeting criteria of normality. Overall, 32 stillbirths occurred in normally formed fetuses (2.28\/1000). Stillbirths were more frequent in the group not meeting criteria (odds ratio [OR] 8.78, 95% CI 4.28\u201318.02). This finding persisted even after records with abnormally low short\u2010term variation (STV) were excluded. The confidence intervals around the rate of stillbirth in the two groups overlapped beyond an STV of 8\u2009ms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Approximately 1:16 pregnancies do not meet the criteria of normality. The criteria are not met more often at preterm gestation than at term. The risk of stillbirth was higher in the group not meeting criteria of normality, even if cases with low STV are excluded. Cases not meeting criteria should be followed up closely, unless the STV is \u22658\u2009ms. Stillbirths still occurred in the group meeting criteria, but the rate was lower than in the general population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17464","type":"journal-article","created":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T10:35:25Z","timestamp":1681209325000},"page":"207-212","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The significance of meeting Dawes\u2013Redman criteria in computerised antenatal fetal heart rate assessment"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2393-7501","authenticated-orcid":false,"given":"Amarnath","family":"Bhide","sequence":"first","affiliation":[{"name":"Fetal Medicine Unit St George's Hospital  London UK"},{"name":"Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute St George's University of London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8428-7162","authenticated-orcid":false,"given":"Anna","family":"Meroni","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit St George's Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Frick","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit St George's Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5531-4301","authenticated-orcid":false,"given":"Basky","family":"Thilaganathan","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit St George's Hospital  London UK"},{"name":"Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute St George's University of London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,11]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2016.10.008"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2005.044"},{"issue":"9","key":"e_1_2_13_4_1","article-title":"Antenatal cardiotocography for fetal assessment","volume":"2015","author":"Grivell RM","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.122447"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/FM9.0000000000000141"},{"key":"e_1_2_13_7_1","unstructured":"Huntleigh Diagnostics.https:\/\/www.huntleigh\u2010diagnostics.com\/sonicaid\u2010Dawes\u2013Redman\u2010ctg\u2010analysis"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2001.00203.x"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)62049-3"},{"issue":"1","key":"e_1_2_13_10_1","first-page":"2","article-title":"Avoiding CTG misinterpretation: a review of the latest Dawes\u2013Redman CTG analysis","volume":"22","author":"Redman C","year":"2014","journal-title":"Br J Midwifery"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60364-4"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(87)92154-4"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10047.x"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60064-0"},{"key":"e_1_2_13_15_1","unstructured":"DraperES GallimoreID SmithLK MatthewsRJ FentonAC KurinczukJJ SmithPW et al.MBRRACE\u2010UK perinatal mortality surveillance report UK perinatal deaths for births from January to December 2020;2022. Report No: 978\u20101\u20109999353\u20109\u20109."},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1806"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17464","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T11:48:28Z","timestamp":1703245708000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.17464"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,11]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1111\/1471-0528.17464"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.17464","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,11]]},"assertion":[{"value":"2023-01-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}