João Bernardes

TL;DR: The latest version of SisPorto, a program for automated analysis of cardiotocograms that closely follows the FIGO guidelines, analyses ante- and intrapartum tracings, performs no signal reduction, and has the possibility of simultaneously recording twins is described.

TL;DR: Analysis of most cardiotocographic events is poorly reproducible, even when experts use the FIGO guidelines, which may be explained by some still ambiguous guidelines, by eyeball limitations in evaluation of subtle events, and by the incapacity of busy clinicians to assess complex and multiple cardiotOCographic events in a systematic and disciplined fashion.

TL;DR: Overall agreement in the interpretation according to the FIGO guidelines of 33 cardiotocographic tracings by experts and subsequent clinical decision was evaluated, using the kappa statistic and the proportions of agreement.

TL;DR: Findings support the hypothesis of increased autonomic nervous system activity in the final minutes of labor and of decreased central nervous systemActivity, both in thefinal minutes ofLabor and in moderate-to-severe acidemic fetuses.

TL;DR: A system developed for routine clinical automated CTG analysis based on a low cost personal computer was described and Fetal heart rate baseline, acceleration--deceleration detection, and long term variability estimation were performed in a satisfactory way.