Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
June 13, 2023Acta Obstetricia Et Gynecologica ScandinavicaOpen Access

Higher reliability and agreement were found for basic FHR features than for overall classification, and intrarater agreement was higher than interrater agreement.

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Intrapartum FHR monitoring relies on subjective observer assessments where interpretive variations lead to variations in care, prompting a summary and evaluation of research on human interpretation reliability.

What is the inter- and intrarater reliability and agreement in the interpretation of intrapartum fetal heart rate monitoring?

Comparison

Inter- and intrarater reliability and agreement of health professionals intrapartum FHR monitoring

Design

Systematic review

Authors

CEChristina Hernandez EngelhartKBKjetil Gundro BrurbergKAKristin Jerve Aanstad

Discussion

Loading...

Member takes

Overview

Warrants caution in clinical use of overall FHR classification; confirms greater reliability for basic features than classifications.

Structured PICO

What is the inter- and intrarater reliability and agreement in the interpretation of intrapartum fetal heart rate monitoring?

P
Population
49 articles concerning continuous fetal heart rate (FHR) monitoring, involving 577 raters assessing 6315 CTG tracings
I
Intervention
Human interpretation of intrapartum fetal heart rate (FHR) monitoring
O
Outcome
Inter- and intrarater reliability and agreement of health professionals' intrapartum FHR monitoring

There is significant variation in reliability and agreement for continuous intrapartum FHR monitoring interpretation, suggesting it should be used with caution for clinical decision making.

Limitations

  • Considerable heterogeneity in quality and measures across included articles
  • Few high-quality studies
  • Methodological concerns in the studies

Cite This Study

Engelhart et al. (2023) studied this question.

synapsesocial.com/papers/6a0512c470c113c9996a63f2https://doi.org/10.1111/aogs.14591
View Full Paper
Ask AI
Bookmark
Share