Limitations of antenatal fetal heart rate monitors
Erroneous or doubtful decelerations in fetal heart rate traces were present in 111 of 1000 consecutive antenatal clinical records obtained by monitors with autocorrelation. The incidence was 20% in fetuses
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Veröffentlicht in: | American journal of obstetrics and gynecology 1990, Vol.162 (1), p.170-173 |
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container_title | American journal of obstetrics and gynecology |
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creator | Dawes, G.S. Moulden, M. Redman, C.W.G. |
description | Erroneous or doubtful decelerations in fetal heart rate traces were present in 111 of 1000 consecutive antenatal clinical records obtained by monitors with autocorrelation. The incidence was 20% in fetuses |
doi_str_mv | 10.1016/0002-9378(90)90843-V |
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The incidence was 20% in fetuses <30 weeks of gestational age. Their elimination reduced the number of "decelerative" records by 42%. Erroneous or doubtful accelerations were also present in 11 % of records. These errors are caused by the fetal heart rate monitor and may contribute to the high intraobserver and interobserver variation on visual analysis. They can be detected by computer analysis. (AM J OBSTET GYNECOL 1990;162:170-3.)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/0002-9378(90)90843-V</identifier><identifier>PMID: 2301488</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>accelerations ; Biological and medical sciences ; decelerations ; Equipment Failure ; Female ; Fetal Heart ; fetal heart rate ; Fetal monitor ; Fetal Monitoring - standards ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Heart Rate ; Humans ; instrumental errors ; Management. Prenatal diagnosis ; Medical sciences ; Pregnancy ; Pregnancy. Fetus. 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The incidence was 20% in fetuses <30 weeks of gestational age. Their elimination reduced the number of "decelerative" records by 42%. Erroneous or doubtful accelerations were also present in 11 % of records. These errors are caused by the fetal heart rate monitor and may contribute to the high intraobserver and interobserver variation on visual analysis. They can be detected by computer analysis. (AM J OBSTET GYNECOL 1990;162:170-3.)</description><subject>accelerations</subject><subject>Biological and medical sciences</subject><subject>decelerations</subject><subject>Equipment Failure</subject><subject>Female</subject><subject>Fetal Heart</subject><subject>fetal heart rate</subject><subject>Fetal monitor</subject><subject>Fetal Monitoring - standards</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>instrumental errors</subject><subject>Management. Prenatal diagnosis</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotVb_gcJeFD2s5qub5CJI8QsKXrTXkJ3OYmQ_apIK_nt3bak3LxnCPPMm8xByyug1o6y4oZTy3AilLw29MlRLkS_2yJhRo_JCF3qfjHfIITmK8WO4csNHZMQFZVLrMeFz3_jkku_amHVV5tqErUuuziocznd0IWXBJcyarvWpC_GYHFSujniyrRPy9nD_OnvK5y-Pz7O7eQ5Cq5QjrYReKsF1KaeqBFMCMAmSM-pAK6OBC5waEECVBCbc1CErDDdQVIVmUkzIxSZ3FbrPNcZkGx8B69q12K2jVaZg_UuqB-UGhNDFGLCyq-AbF74to3ZQZYfF7eDBGmp_VdlFP3a2zV-XDS53Q1s3ff9823cRXF0F14KPf9lGKqoU77nbDYe9jC-PwUbw2AIufUBIdtn5_z_yA8BWg_I</recordid><startdate>1990</startdate><enddate>1990</enddate><creator>Dawes, G.S.</creator><creator>Moulden, M.</creator><creator>Redman, C.W.G.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1990</creationdate><title>Limitations of antenatal fetal heart rate monitors</title><author>Dawes, G.S. ; Moulden, M. ; Redman, C.W.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-e0f38d7328b457bc9bcc14c4210ac8798c23e59c3c074c13a5ae16929c6f68143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>accelerations</topic><topic>Biological and medical sciences</topic><topic>decelerations</topic><topic>Equipment Failure</topic><topic>Female</topic><topic>Fetal Heart</topic><topic>fetal heart rate</topic><topic>Fetal monitor</topic><topic>Fetal Monitoring - standards</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>instrumental errors</topic><topic>Management. Prenatal diagnosis</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dawes, G.S.</creatorcontrib><creatorcontrib>Moulden, M.</creatorcontrib><creatorcontrib>Redman, C.W.G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dawes, G.S.</au><au>Moulden, M.</au><au>Redman, C.W.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Limitations of antenatal fetal heart rate monitors</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1990</date><risdate>1990</risdate><volume>162</volume><issue>1</issue><spage>170</spage><epage>173</epage><pages>170-173</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Erroneous or doubtful decelerations in fetal heart rate traces were present in 111 of 1000 consecutive antenatal clinical records obtained by monitors with autocorrelation. The incidence was 20% in fetuses <30 weeks of gestational age. Their elimination reduced the number of "decelerative" records by 42%. Erroneous or doubtful accelerations were also present in 11 % of records. These errors are caused by the fetal heart rate monitor and may contribute to the high intraobserver and interobserver variation on visual analysis. They can be detected by computer analysis. (AM J OBSTET GYNECOL 1990;162:170-3.)</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>2301488</pmid><doi>10.1016/0002-9378(90)90843-V</doi><tpages>4</tpages></addata></record> |
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issn | 0002-9378 1097-6868 |
language | eng |
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subjects | accelerations Biological and medical sciences decelerations Equipment Failure Female Fetal Heart fetal heart rate Fetal monitor Fetal Monitoring - standards Gestational Age Gynecology. Andrology. Obstetrics Heart Rate Humans instrumental errors Management. Prenatal diagnosis Medical sciences Pregnancy Pregnancy. Fetus. Placenta |
title | Limitations of antenatal fetal heart rate monitors |
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