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Interobserver agreement among midwives in cardiotocography interpretation using the 2015 FIGO guidelines for intrapartum fetal monitoring: A retrospective study

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Interobserver agreement for cardiotocography interpretation was fair, with a Fleiss' kappa of 0.35.
The highest agreement was found in the normal category with a kappa of 0.50, while variability had poor agreement at 0.20.
This retrospective, single center observational study analyzed 100 intrapartum CTG tracings at the University of Parma, Italy.
Results indicate the need to improve training for midwives in CTG interpretation to enhance agreement.

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Retrospective study shows fair interobserver agreement for cardiotocography in midwives, indicating variability in CTG classification.

Neri et al. (2025) studied this question.

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