Computer Assessment of the Intrapartum Cardiotocogram: II. The value of computer assessment compared with visual assessment

Autor:	P. V. Nielsen, J. Nim, Peter Vest Nielsen, Carsten Nickelsen, Bjarne Stigsby
Rok vydání:	1988
Předmět:	medicine.medical_specialty medicine.diagnostic_test Obstetrics business.industry Obstetrics and Gynecology Umbilical artery General Medicine Obstetrics and gynaecology medicine.artery Visual assessment medicine Fetal outcome Cardiotocography Apgar score business reproductive and urinary physiology
Zdroj:	Acta Obstetricia et Gynecologica Scandinavica. 67:461-464
ISSN:	1600-0412 0001-6349
DOI:	10.3109/00016348809004260
Popis:	The chief aim of our work has been to create a computer Cardiotocographic Assessment System (CAS) and thus eliminate the intra- and inter-observer variability of the visual assessment of the cardiotocogram (CTG), and to improve the assessment of the CTGs to the standard of the most experienced obstetricians. The purpose of this paper is to present the accuracy of the prediction of fetal outcome obtained by the CAS and to compare it with 4 experienced obstetricians’ accuracy. Fifty CTGs from the last 30 min. of labor were assessed as normal or pathological by the computer and by the obstetricians. The condition of the newborn was evaluated from the one-minute Apgar score, the umbilical artery pH and standard base excess, and the need for resuscitation.The accuracy of the CAS was significantly better than the accuracy of the obstetrician obtaining the best result. We conclude that the development of a computer-aided cardiotocographic assessment system is worthwhile.
Databáze:	OpenAIRE
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