Meenakshi Balasubramanian, Niyati N Sangoi
Utility of Bone Marrow Examination in Pediatric Age Group: Experience of a Tertiary Healthcare Centre in India
Cureus
aim evaluate intra interoperator agreement cardiotocography ctg traces analysis using 2015 figo classification guidelines whether educational background knowledge anamnestic data influence interpretation ctg traces retrospective interpretation 73 intrapartum ctgs time 0 t0 first blind interpretation time 1 t1 two months later additional anamnestic pregnancy information made eight different operators four obstetricians four midwives different years work experience intraobserver agreement demonstrates midwifes concordant obstetricians mean 7705 versus mean 6575 moderate interobserver agreement classifying ctg trace normal contrary consensus suspect pathological classification categoryimpact statementwhat already known subject interpretation intrapartum ctg affected significant subjective variables relevant intra interobserver lack optimal agreement especially case abnormal pathologic findingswhat results study add clinical data seem play role interpretation suspicious pathological traces affect rate agreement normal traces midwives tend less influenced anamnestic data visual ctg interpretation instead obstetricians tend focussed clinical data clinical setting consequence tend great impact ctg trace interpretationwhat implications findings clinical practice andor research cooperation among obstetricians obstetricians midwives encouraged order optimise ctg reading improve maternal neonatal outcomes regarding influence clinical parameters classification intrapartum ctg traces especially case abnormal ctg traces conceivable improve medical skills ctg blind interpretation investigate clinical parameters mainly related augmented risk foetal asphyxia adverse neonatal outcomes