A multicentre comparative study of 17 experts and an intelligent computer system for managing labour using the cardiotocogram

British Journal of Obstetrics and Gynaecology
R D KeithK R Greene

Abstract

To investigate 1. whether an intelligent computer system could obtain a performance in labour management comparable with experts when using cardiotocograms (CTGs), patient information, and fetal blood sampling and 2. whether experts could be consistent and agree in their management of labour. An intelligent computer system and 17 clinicians experienced in fetal monitoring from 16 centres in the UK. Fifty cases with complete intrapartum CTGs and clinical data were reviewed by each expert and the system independently on two occasions, at least one month apart. Each CTG was scored in 15 min segments according to a protocol and estimates of the cervical dilatation and fetal scalp blood pH were given when requested. Consistency and agreement in the recorded scores, agreement and timing of cases recommended for caesarean sections, fetal blood sampling rates, intervention in cases with poor outcome and intervention in cases with good clinical outcome. The system: 1. Agreed with experts well and significantly better than chance (67.33%, kappa = 0.31, P < 0.001). 2. Was highly consistent (99.16%, kappa = 0.98, P < 0.001) when used by two operators independently. 3. Recommended no unnecessary intervention in cases with normal delivery an...Continue Reading

References

Dec 1, 1978·British Journal of Obstetrics and Gynaecology·J B Trimbos, M J Keirse
Jan 1, 1991·Journal of Perinatal Medicine·G S DawesC W Redman
Sep 1, 1990·Lancet·J F BarrettR J Lilford
Dec 1, 1990·Baillière's Clinical Obstetrics and Gynaecology·K Maeda
May 26, 1990·BMJ : British Medical Journal·M Ennis, C A Vincent
Jun 1, 1990·British Journal of Obstetrics and Gynaecology·G J Hofmeyr
Jun 1, 1990·British Journal of Obstetrics and Gynaecology·K W MurphyA Turnbull
Apr 1, 1988·Paediatric and Perinatal Epidemiology·M G Wagner
Jan 1, 1988·American Journal of Obstetrics and Gynecology·F J Stanley, L Watson
Oct 1, 1983·Journal of Biomedical Engineering·P J WickhamR Belcher
Nov 15, 1982·American Journal of Obstetrics and Gynecology·F K LotgeringH J Schouten
Sep 1, 1994·Baillière's Clinical Obstetrics and Gynaecology·R D Keith, K R Greene
Dec 1, 1994·British Journal of Obstetrics and Gynaecology·J WestgateK R Greene
Jul 1, 1994·Medical & Biological Engineering & Computing·R D KeithK R Greene
Mar 1, 1994·British Journal of Obstetrics and Gynaecology·J Westgate, K Greene
Mar 1, 1993·American Journal of Obstetrics and Gynecology·R GagnonC Hunse
Feb 6, 1993·BMJ : British Medical Journal·J Neilson

❮ Previous
Next ❯

Citations

Jun 9, 2012·Medical & Biological Engineering & Computing·A GeorgievaC W G Redman
Jan 25, 2013·Medical & Biological Engineering & Computing·Hernâni GonçalvesJoão Bernardes
Jun 11, 1998·European Journal of Obstetrics, Gynecology, and Reproductive Biology·C B Martin
Oct 13, 1999·Artificial Intelligence in Medicine·J M GaribaldiE C Ifeachor
Jun 1, 1996·Baillière's Clinical Obstetrics and Gynaecology·J Gardosi
Apr 1, 1997·International Journal of Medical Informatics·M MongelliD Sahota
Sep 16, 2003·Obstetrical & Gynecological Survey·J T Parer
Feb 4, 2010·Current Opinion in Obstetrics & Gynecology·João Bernardes, Diogo Ayres-de-Campos
Jul 22, 2006·Journal of Perinatal Medicine·Outi PalomäkiRisto Tuimala
Jan 15, 2014·BMC Pregnancy and Childbirth·Václav ChudáčekLenka Lhotská
Feb 9, 2008·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·V OlagundoyeI Z Mackenzie
Jan 23, 2016·BMC Pregnancy and Childbirth·Peter Brocklehurst, UNKNOWN INFANT Collaborative Group
Sep 30, 2000·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·P R McCartney
Jul 28, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·Inês Nunes, Diogo Ayres-de-Campos
Dec 1, 2010·Seminars in Fetal & Neonatal Medicine·I Amer-Wåhlin, K Maršál
Apr 22, 2014·Journal of Biomedical Informatics·Jiří SpilkaLenka Lhotská
Feb 14, 2008·Seminars in Fetal & Neonatal Medicine·Philip J Steer
Oct 20, 2005·Acta Obstetricia Et Gynecologica Scandinavica·Ellen Blix, Pål Oian
Jun 12, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·C VayssièreF Goffinet
Mar 18, 2016·BMC Pregnancy and Childbirth·Stina WretlerLennart Nordström
Aug 1, 2000·IEEE Transactions on Bio-medical Engineering·J B TilburyE C Ifeachor
Dec 10, 1999·Obstetrics and Gynecology Clinics of North America·K R Greene
Oct 5, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Gerard H VisserUNKNOWN FIGO Intrapartum Fetal Monitoring Expert Consensus Panel
May 27, 2015·Journal of Evaluation in Clinical Practice·Lukáš HrubanLenka Lhotská
Sep 20, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Atsuko SadakaKaoru Ishikawa
Sep 11, 2007·American Journal of Obstetrics and Gynecology·Jenny A WestgateAlistair J Gunn
Jul 10, 2007·American Journal of Obstetrics and Gynecology·Julian T Parer, Tomoaki Ikeda
Apr 4, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Antoniya GeorgievaAris T Papageorghiou
May 5, 2017·Journal of Zhejiang University. Science. B·Shao-Rui HaoLan-Juan Li
Aug 24, 1999·British Journal of Obstetrics and Gynaecology·J A WestgateT R Gunn
Feb 1, 1997·The Australian & New Zealand Journal of Obstetrics & Gynaecology·S Chua, S Arulkumaran
Jun 7, 2006·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·J T ParerS J Kilpatrick
Feb 14, 2018·Health Technology Assessment : HTA·Peter BrocklehurstOliver Rivero-Arias
Feb 7, 2001·The Australian & New Zealand Journal of Obstetrics & Gynaecology·S M Menticoglou, C R Harman
Sep 26, 2000·BJOG : an International Journal of Obstetrics and Gynaecology·S BeckleyK Greene
Sep 26, 2000·BJOG : an International Journal of Obstetrics and Gynaecology·G M TaylorY Liu
Apr 1, 1997·British Journal of Obstetrics and Gynaecology·J M Grant
Oct 23, 1997·British Journal of Obstetrics and Gynaecology·M MongelliA M Chang
Apr 8, 2006·Current Opinion in Obstetrics & Gynecology·Barry S Schifrin, Stewart Ater
Aug 14, 2009·Journal of Perinatal Medicine·Philip J Steer
Aug 25, 2011·Physiological Measurement·Antoniya GeorgievaChristopher W G Redman
Dec 28, 1999·British Journal of Obstetrics and Gynaecology·D Ayres-de-CamposL Pereira-Leite

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
J BernardesL Pereira-Leite
© 2021 Meta ULC. All rights reserved