Journal ArticleDOI
Use of peripartum ST analysis of fetal electrocardiogram without blood sampling: a large prospective cohort study.
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TLDR
STAN monitoring without FBS support was associated with a low rate of fetal metabolic acidosis and the study warns of possible guideline violations and subsequent adverse neonatal outcomes.About:
This article is published in European Journal of Obstetrics & Gynecology and Reproductive Biology.The article was published on 2011-05-01. It has received 34 citations till now. The article focuses on the topics: Fetal distress & Neonatal encephalopathy.read more
Citations
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Journal ArticleDOI
Sparse Support Vector Machine for Intrapartum Fetal Heart Rate Classification
TL;DR: Intrapartum fetal acidosis detection is improved in several respects: an original multivariate classification targeting both sparse feature selection and high performance is devised; state-of-the-art performance is obtained on a much larger database than that generally studied with description of common pitfalls in supervised classification performance assessments.
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Fractal Analysis and Hurst Parameter for Intrapartum Fetal Heart Rate Variability Analysis: A Versatile Alternative to Frequency Bands and LF/HF Ratio
TL;DR: The Hurst parameter provides a robust and versatile tool for quantifying FHR variability, yields better acidosis detection performance compared to the LF/HF ratio, and avoids arbitrariness in spectral band splitting and definitions.
Journal ArticleDOI
Fetal monitoring with computerized ST analysis during labor: a systematic review and meta-analysis
Anette Salmelin,Ingela Wiklund,Roger Bottinga,Bengt Brorsson,Gunvor Ekman-Ordeberg,Eva Eneroth Grimfors,Ulf Hanson,M. Blom,Elisabeth Persson,Elisabeth Persson +9 more
TL;DR: There is not enough scientific evidence to conclude that computerized ST analysis during labor reduces the incidence of metabolic acidosis, hypoxic ischemic encephalopathy, cesarean section, instrumental vaginal delivery or the number of instances where fetal scalp blood sampling is used as compared with CTG only.
Journal ArticleDOI
Comparison of Multivariable Logistic Regression and Other Machine Learning Algorithms for Prognostic Prediction Studies in Pregnancy Care: Systematic Review and Meta-Analysis
Herdiantri Sufriyana,Atina Husnayain,Atina Husnayain,Ya Lin Chen,Chao Yang Kuo,Onkar Singh,Tso Yang Yeh,Yu Wei Wu,Yu Wei Wu,Emily Chia Yu Su +9 more
TL;DR: In this article, the authors reviewed and compared the predictive performances between logistic regression and other machine learning algorithms for developing or validating a multivariable prognostic prediction model for pregnancy care to inform clinicians' decision making.
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Evaluation of the fetal QT interval using non-invasive fetal ECG technology.
Joachim Behar,Tingting Zhu,Julien Oster,Alisa Niksch,Douglas Y. Mah,Terrence Chun,James A Greenberg,Cassandre Tanner,Jessica Harrop,Reza Sameni,Jay Ward,Adam Wolfberg,Gari D. Clifford +12 more
TL;DR: Evidence is provided that NI-FECG technology enables accurate extraction of the fetal QT interval in term laboring women and is lower than the lowest adult root mean square error observed in related adult QT studies.
References
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Journal ArticleDOI
Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour
TL;DR: Evaluated the effectiveness and safety of continuous cardiotocography when used as a method to monitor fetal wellbeing during labour, which showed no significant improvement in overall perinatal death rate.
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Uncertain value of electronic fetal monitoring in predicting cerebral palsy
TL;DR: The findings arouse concern that, if these indications were widely used, many cesarean sections would be performed without benefit and with the potential for harm.
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Cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial
Isis Amer-Wåhlin,Charlotte Hellsten,Håkan Norén,Henrik Hagberg,Andreas Herbst,Ingemar Kjellmer,Håkan Lilja,Claes Lindoff,Maivi Månsson,Laila Mårtensson,Per Olofsson,Anna-Karin Sundström,Karel Marsal +12 more
TL;DR: Intrapartum monitoring with cardiotocography combined with automatic ST-waveform analysis increases the ability of obstetricians to identify fetal hypoxia and to intervene more appropriately, resulting in an improved perinatal outcome.
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The epidemiology and causes of cerebral palsy
Dinah Reddihough,Kevin Collins +1 more
TL;DR: Although the total number of children with cerebral palsy has remained stable or increased slightly since 1970, there has been a consistent rise in the proportion of cerebral palsY associated with preterm and very preterm births.
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Plymouth randomized trial of cardiotocogram only versus ST waveform plus cardiotocogram for intrapartum monitoring in 2400 cases.
TL;DR: ST waveform analysis discriminates cardiotocogram changes in labor, and the protocol for interpretation is safe, and further randomized studies are warranted.