Matches in SemOpenAlex for { <https://semopenalex.org/work/W1599559265> ?p ?o ?g. }
- W1599559265 endingPage "1462" @default.
- W1599559265 startingPage "1457" @default.
- W1599559265 abstract "<h3>Abstract</h3> <b>Objective:</b> To compare the effect of admission cardiotocography and Doppler auscultation of the fetal heart on neonatal outcome and levels of obstetric intervention in a low risk obstetric population. <b>Design:</b> Randomised controlled trial. <b>Setting:</b> Obstetric unit of teaching hospital <b>Participants:</b> Pregnant women who had no obstetric complications that warranted continuous monitoring of fetal heart rate in labour. <b>Intervention:</b> Women were randomised to receive either cardiotocography or Doppler auscultation of the fetal heart when they were admitted in spontaneous uncomplicated labour. <b>Main outcome measures:</b> The primary outcome measure was umbilical arterial metabolic acidosis. Secondary outcome measures included other measures of condition at birth and obstetric intervention. <b>Results:</b> There were no significant differences in the incidence of metabolic acidosis or any other measure of neonatal outcome among women who remained at low risk when they were admitted in labour. However, compared with women who received Doppler auscultation, women who had admission cardiotocography were significantly more likely to have continuous fetal heart rate monitoring in labour (odds ratio 1.49, 95% confidence interval 1.26 to 1.76), augmentation of labour (1.26, 1.02 to 1.56), epidural analgesia (1.33, 1.10 to 1.61), and operative delivery (1.36, 1.12 to 1.65). <b>Conclusions:</b> Compared with Doppler auscultation of the fetal heart, admission cardiotocography does not benefit neonatal outcome in low risk women. Its use results in increased obstetric intervention, including operative delivery. <h3>What is already known on this topic</h3> The admission cardiotocogram is a short recording of the fetal heart rate immediately after admission to the labour ward Opinion varies about its value in identifying a potentially compromised fetus In low risk women, the incidence of intrapartum fetal compromise is low <h3>What this study adds</h3> Compared with Doppler auscultation of the fetal heart, admission cardiotocography has no benefit on neonatal outcome in low risk women Admission cardiotocography results in increased obstetric intervention, including operative delivery" @default.
- W1599559265 created "2016-06-24" @default.
- W1599559265 creator A5009613304 @default.
- W1599559265 creator A5016796030 @default.
- W1599559265 creator A5048135330 @default.
- W1599559265 date "2001-06-16" @default.
- W1599559265 modified "2023-10-16" @default.
- W1599559265 title "Randomised controlled trial of cardiotocography versus Doppler auscultation of fetal heart at admission in labour in low risk obstetric population Commentary: changes between protocol and manuscript should be declared at submission Commentary: research governance must focus on research training Commentary: Approach to power calculations has to be realistic" @default.
- W1599559265 cites W1539715316 @default.
- W1599559265 cites W1962907073 @default.
- W1599559265 cites W1997817426 @default.
- W1599559265 cites W2021120164 @default.
- W1599559265 cites W2028385007 @default.
- W1599559265 cites W2033310746 @default.
- W1599559265 cites W2044904897 @default.
- W1599559265 cites W2050119322 @default.
- W1599559265 cites W2057453104 @default.
- W1599559265 cites W2061015724 @default.
- W1599559265 cites W2064264446 @default.
- W1599559265 cites W2071883261 @default.
- W1599559265 cites W2072500907 @default.
- W1599559265 cites W2074531590 @default.
- W1599559265 cites W2090909201 @default.
- W1599559265 cites W2098020556 @default.
- W1599559265 cites W2101199459 @default.
- W1599559265 cites W2102792837 @default.
- W1599559265 cites W2114160156 @default.
- W1599559265 cites W2140857852 @default.
- W1599559265 cites W2142960568 @default.
- W1599559265 cites W2415712401 @default.
- W1599559265 cites W2461486819 @default.
- W1599559265 cites W2465726314 @default.
- W1599559265 cites W80576334 @default.
- W1599559265 doi "https://doi.org/10.1136/bmj.322.7300.1457" @default.
- W1599559265 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/32308" @default.
- W1599559265 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/11408301" @default.
- W1599559265 hasPublicationYear "2001" @default.
- W1599559265 type Work @default.
- W1599559265 sameAs 1599559265 @default.
- W1599559265 citedByCount "84" @default.
- W1599559265 countsByYear W15995592652012 @default.
- W1599559265 countsByYear W15995592652013 @default.
- W1599559265 countsByYear W15995592652015 @default.
- W1599559265 countsByYear W15995592652016 @default.
- W1599559265 countsByYear W15995592652017 @default.
- W1599559265 countsByYear W15995592652018 @default.
- W1599559265 countsByYear W15995592652019 @default.
- W1599559265 countsByYear W15995592652021 @default.
- W1599559265 countsByYear W15995592652022 @default.
- W1599559265 countsByYear W15995592652023 @default.
- W1599559265 crossrefType "journal-article" @default.
- W1599559265 hasAuthorship W1599559265A5009613304 @default.
- W1599559265 hasAuthorship W1599559265A5016796030 @default.
- W1599559265 hasAuthorship W1599559265A5048135330 @default.
- W1599559265 hasBestOaLocation W15995592651 @default.
- W1599559265 hasConcept C126322002 @default.
- W1599559265 hasConcept C131872663 @default.
- W1599559265 hasConcept C156957248 @default.
- W1599559265 hasConcept C168563851 @default.
- W1599559265 hasConcept C172680121 @default.
- W1599559265 hasConcept C2776046940 @default.
- W1599559265 hasConcept C2777324038 @default.
- W1599559265 hasConcept C2779234561 @default.
- W1599559265 hasConcept C2908647359 @default.
- W1599559265 hasConcept C54355233 @default.
- W1599559265 hasConcept C71924100 @default.
- W1599559265 hasConcept C86803240 @default.
- W1599559265 hasConcept C99454951 @default.
- W1599559265 hasConceptScore W1599559265C126322002 @default.
- W1599559265 hasConceptScore W1599559265C131872663 @default.
- W1599559265 hasConceptScore W1599559265C156957248 @default.
- W1599559265 hasConceptScore W1599559265C168563851 @default.
- W1599559265 hasConceptScore W1599559265C172680121 @default.
- W1599559265 hasConceptScore W1599559265C2776046940 @default.
- W1599559265 hasConceptScore W1599559265C2777324038 @default.
- W1599559265 hasConceptScore W1599559265C2779234561 @default.
- W1599559265 hasConceptScore W1599559265C2908647359 @default.
- W1599559265 hasConceptScore W1599559265C54355233 @default.
- W1599559265 hasConceptScore W1599559265C71924100 @default.
- W1599559265 hasConceptScore W1599559265C86803240 @default.
- W1599559265 hasConceptScore W1599559265C99454951 @default.
- W1599559265 hasIssue "7300" @default.
- W1599559265 hasLocation W15995592651 @default.
- W1599559265 hasLocation W15995592652 @default.
- W1599559265 hasLocation W15995592653 @default.
- W1599559265 hasLocation W15995592654 @default.
- W1599559265 hasLocation W15995592655 @default.
- W1599559265 hasOpenAccess W1599559265 @default.
- W1599559265 hasPrimaryLocation W15995592651 @default.
- W1599559265 hasRelatedWork W174310477 @default.
- W1599559265 hasRelatedWork W2087952070 @default.
- W1599559265 hasRelatedWork W2101222964 @default.
- W1599559265 hasRelatedWork W2126947698 @default.
- W1599559265 hasRelatedWork W2147252760 @default.
- W1599559265 hasRelatedWork W2161431876 @default.
- W1599559265 hasRelatedWork W2406144859 @default.
- W1599559265 hasRelatedWork W3011172040 @default.
- W1599559265 hasRelatedWork W3031251006 @default.