{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:48:18Z","timestamp":1790272098918,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,4,15]],"date-time":"2014-04-15T00:00:00Z","timestamp":1397520000000},"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":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To quantify inter\u2010 and intra\u2010observer agreement of non\u2010reassuring intrapartum cardiotocography (<jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content>) patterns and subsequent clinical management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Methodological study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University Medical Center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> patterns of 79 women beyond 37\u00a0weeks of gestation with a singleton fetus in vertex position in first stage of labor in whom fetal blood sampling (<jats:styled-content style=\"fixed-case\">FBS<\/jats:styled-content>) had been performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nine observers assessed <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> patterns, which were formerly clinically classified as non\u2010reassuring and indicative for <jats:styled-content style=\"fixed-case\">FBS<\/jats:styled-content>, according to the guidelines of the International Federation of Gynecology and Obstetrics modified for <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content> analysis. They also proposed clinical management strategies without and with insight into clinical parameters. Weighted kappa values (\u03ba<jats:sub>w<\/jats:sub>) and proportions of agreement (<jats:italic>P<\/jats:italic><jats:sub>a<\/jats:sub>) were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Agreement on <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> classification and clinical management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Inter\u2010observer agreement on <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> classification and on clinical management were poor for most observer categories (\u03ba<jats:sub>w<\/jats:sub> range 0.31\u20130.50 and 0.20\u20130.45, respectively). Observers agreed best on abnormal <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> patterns (<jats:italic>P<\/jats:italic><jats:sub>a<\/jats:sub> range 0.28\u20130.36) and on the clinical management option \u201ccontinue monitoring\u201d (<jats:italic>P<\/jats:italic><jats:sub>a<\/jats:sub> range 0.32\u20130.40). Intra\u2010observer agreement was fair to good for most observers (\u03ba<jats:sub>w<\/jats:sub> 0.33\u20130.70). Insight into clinical parameters resulted in similar inter\u2010 and intra\u2010observer agreement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was poor inter\u2010observer agreement and fair to good intra\u2010observer agreement on classification and clinical management of intrapartum <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> patterns, which had been classified as non\u2010reassuring and indicative for <jats:styled-content style=\"fixed-case\">FBS<\/jats:styled-content> during birth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12371","type":"journal-article","created":{"date-parts":[[2014,3,5]],"date-time":"2014-03-05T14:52:50Z","timestamp":1394031170000},"page":"596-602","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":75,"title":["Inter\u2010 and intra\u2010observer agreement of non\u2010reassuring cardiotocography analysis and subsequent clinical management"],"prefix":"10.1111","volume":"93","author":[{"given":"Sarah","family":"Rh\u00f6se","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Nijmegen Medical Center Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayesha M.F.","family":"Heinis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Nijmegen Medical Center Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Vandenbussche","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Nijmegen Medical Center Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joris","family":"van Drongelen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Nijmegen Medical Center Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen","family":"van Dillen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Nijmegen Medical Center Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,15]]},"reference":[{"issue":"5","key":"e_1_2_9_2_1","first-page":"CD006066","article-title":"Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour","author":"Alfirevic Z","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.03.011"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08187.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(97)02846-4"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2005.044"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(82)90440-9"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03575.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2010.12.044"},{"key":"e_1_2_9_10_1","first-page":"159","article-title":"Guidelines for the use of fetal monitoring","volume":"25","author":"FIGO subcommittee on Standards in Perinatal Medicine","year":"1987","journal-title":"Int J Gynaecol Obstet"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm.2011.062"},{"key":"e_1_2_9_12_1","first-page":"B259","article-title":"Intrapartum foetal monitoring: from stethoscope to ST analysis of the ECG","volume":"153","author":"Westerhuis ME","year":"2009","journal-title":"Ned Tijdschr Geneeskd"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199406000-00015"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443619009151156"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2006.093"},{"key":"e_1_2_9_16_1","volume-title":"National Collaborating Centre for Women's and Children's Health commissioned by the National Institute for Health and Clinical Excellence. Intrapartum care","year":"2007"},{"key":"e_1_2_9_17_1","volume-title":"Richtlijn Foetale Bewaking","author":"Nederlandse Vereniging voor Obstetrie en Gynaecologie","year":"2003"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01479.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01237.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)92169-3"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/85.3.257"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19980115)17:1<101::AID-SIM727>3.0.CO;2-E"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340802023053"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02204.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.02092.x"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5225"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2009.09.008"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faogs.12371","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.12371","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T21:02:00Z","timestamp":1694638920000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.12371"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,15]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,6]]}},"alternative-id":["10.1111\/aogs.12371"],"URL":"https:\/\/doi.org\/10.1111\/aogs.12371","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4,15]]},"assertion":[{"value":"2013-10-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-02-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-04-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}