OBJECTIVE: Our purpose was to test the reliability of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 3-Tier Fetal Heart Rate (FHR) classification system. STUDY DESIGN: Individual 15- to 20-minute FHR segments (n = 154) were independently reviewed without clinical data by 3 maternal-fetal medicine examiners and classified by NICHD category (I, II, III). RESULTS: Interobserver reliability was moderate (kappa 0.45) and varied by NICHD category (category I moderate [kappa 0.48], category II moderate [kappa 0.44], and category III poor [kappa 0.0]). The intraobserver agreement ranged from substantial to perfect (kappa 0.74-1.0). CONCLUSION: Interobserver agreement of 3-Tier FHR classification System was moderate for NICHD categories I and II. Agreement for category III tracings was poor mainly due to lack of agreement regarding absent vs minimal variability.
OBJECTIVE: Our purpose was to test the reliability of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 3-Tier Fetal Heart Rate (FHR) classification system. STUDY DESIGN: Individual 15- to 20-minute FHR segments (n = 154) were independently reviewed without clinical data by 3 maternal-fetal medicine examiners and classified by NICHD category (I, II, III). RESULTS: Interobserver reliability was moderate (kappa 0.45) and varied by NICHD category (category I moderate [kappa 0.48], category II moderate [kappa 0.44], and category III poor [kappa 0.0]). The intraobserver agreement ranged from substantial to perfect (kappa 0.74-1.0). CONCLUSION: Interobserver agreement of 3-Tier FHR classification System was moderate for NICHD categories I and II. Agreement for category III tracings was poor mainly due to lack of agreement regarding absent vs minimal variability.
Authors: Antoniya Georgieva; Patrice Abry; Václav Chudáček; Petar M Djurić; Martin G Frasch; René Kok; Christopher A Lear; Sebastiaan N Lemmens; Inês Nunes; Aris T Papageorghiou; Gerald J Quirk; Christopher W G Redman; Barry Schifrin; Jiri Spilka; Austin Ugwumadu; Rik Vullings Journal: Acta Obstet Gynecol Scand Date: 2019-06-18 Impact factor: 3.636
Authors: Václav Chudáček; Jiří Spilka; Miroslav Burša; Petr Janků; Lukáš Hruban; Michal Huptych; Lenka Lhotská Journal: BMC Pregnancy Childbirth Date: 2014-01-13 Impact factor: 3.007
Authors: C Garabedian; Y Clermont-Hama; D Sharma; E Aubry; L Butruille; P Deruelle; L Storme; J De Jonckheere; V Houfflin-Debarge Journal: PLoS One Date: 2018-01-10 Impact factor: 3.240
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