{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T15:45:19Z","timestamp":1743781519752},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T00:00:00Z","timestamp":1600214400000},"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":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the accuracy of neonatal distress prediction using the five\u2010level classification of fetal heart rate (FHR) and management protocol of the Japan Society of Obstetrics and Gynecology (JSOG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A case\u2013control study was conducted. Vertex singleton pregnant women who delivered after 37\u2009weeks' gestation from 2013 to 2015 were enrolled. The participants were categorized into two groups; controls were levels 1\u20133 (<jats:italic>n<\/jats:italic> =\u20091184), whereas cases were levels 4\u20135 (<jats:italic>n<\/jats:italic> =\u2009117) group. Neonatal distress was defined as Apgar score\u2009&lt;\u20098 points at 5\u2009min or umbilical cord artery pH\u2009&lt;\u20097.1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 117 cases (9.0%). The frequency of the neonatal distress was observed in 1.3% controls and 6.8% cases (<jats:italic>P<\/jats:italic> &lt;\u20090.01). Diagnostic accuracy of neonatal distress for cases showed a 6.8% positive\u2010predictive value, 34.8% sensitivity, 91.5% specificity and 98.7% negative\u2010predictive value. Among various obstetrical conditions, high sensitivity (100%) for prediction of neonatal distress was observed in women with chromosome abnormalities, placental abruption, umbilical cord abnormalities and excessive labor pain. Conversely, relatively low specificity (&lt;50%) was observed in cases with oligohydramnios and excessive labor pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The five\u2010level classification scheme was efficient for neonatal distress prediction. However, depending on the obstetric condition, the FHR findings and neonatal condition might be independent.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14490","type":"journal-article","created":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T01:09:13Z","timestamp":1600304953000},"page":"254-261","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Accuracy of predicting neonatal distress using a five\u2010level classification of fetal heart rate monitoring"],"prefix":"10.1111","volume":"47","author":[{"given":"Natsumi","family":"Furuya","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Marianna University School of Medicine  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junichi","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Marianna University School of Medicine  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruka","family":"Imai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Marianna University School of Medicine  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chika","family":"Homma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Marianna University School of Medicine  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akiko","family":"Kurasaki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Marianna University School of Medicine  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruhiro","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Marianna University School of Medicine  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nao","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Marianna University School of Medicine  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.06.086"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/AOG.0b013e3181aef106","article-title":"Intrapartum fetal heart rate monitoring: Nomenclature, interpretation, and general management principles","volume":"114","author":"American College of Obstetricians Gynecologists. 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