{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T05:14:27Z","timestamp":1767849267632,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,5,13]],"date-time":"2021-05-13T00:00:00Z","timestamp":1620864000000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study follows the 2017 UK INFANT Collaborative Group RCT, which compared neonatal outcomes with and without the use of the INFANT cardiotocograph decision support system for over 46\u00a0000 patients in labour. The original trial failed to demonstrate a significant improvement to neonatal outcomes; however, the study design was subject to methodological critique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This Australian retrospective cohort study aimed to report perinatal outcomes before and after the introduction of INFANT decision support software for cardiotocograph use in labour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The study cohort was divided into two equivalent 18\u2010month epochs, before and after the introduction of INFANT\u2010Guardian\u00ae CTG decision support system. Propensity score matching analysis was undertaken to balance pre\u2010 and post\u2010implementation groups by baseline covariates. The matched cohort included 11\u00a0154 public\u2010funded women between November 2016 and 2019, with a singleton live fetus \u226534\u00a0+\u00a00\u00a0weeks, being induced or in spontaneous labour. The main outcome measures were: a composite measure of serious adverse neonatal outcome comprising of one or more of: admission to intensive care nursery &gt;48\u00a0h, Apgar &lt;4 at 5\u00a0min, cord arterial pH &lt;7.0, hypoxic ischaemic encephalopathy grade 2 or 3, therapeutic hypothermia, neonatal death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of the composite primary outcome was significantly lower following implementation of INFANT (0.57% vs. 1.00%; OR 0.57, 95%CI 0.37\u20130.88; <jats:italic>P\u00a0<\/jats:italic>=\u00a00.01). A significant reduction in nursery admission &gt;48\u00a0h was also observed (0.05% vs. 0.30%; OR 0.18, 95%CI 0.05\u20130.60; <jats:italic>P\u00a0<\/jats:italic>=\u00a00.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>INFANT software is associated with a reduction in serious adverse neonatal outcomes, without increasing the rate of operative delivery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13375","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T05:22:23Z","timestamp":1620969743000},"page":"876-881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Measuring the impact of cardiotocograph decision support software on neonatal outcomes: A propensity score\u2010matched observational 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