dc.contributor.author | Olofsson, Per | en_US |
dc.contributor.author | Ayres-de-Campos, Diogo | en_US |
dc.contributor.author | Kessler, Jörg | en_US |
dc.contributor.author | Tendal, Britta | en_US |
dc.contributor.author | Yli, Branislava Markovic | en_US |
dc.contributor.author | Devoe, Lawrence | en_US |
dc.date.accessioned | 2015-08-06T12:24:00Z | |
dc.date.available | 2015-08-06T12:24:00Z | |
dc.date.issued | 2014-06 | |
dc.identifier.issn | 0001-6349 | |
dc.identifier.uri | https://hdl.handle.net/1956/10235 | |
dc.description.abstract | We appraised the methodology, execution and quality of the five published meta-analyses that are based on the five randomized controlled trials which compared cardiotocography (CTG)+ST analysis to cardiotocography. The meta-analyses contained errors, either created de novo in handling of original data or from a failure to recognize essential differences among the randomized controlled trials, particularly in their inclusion criteria and outcome parameters. No meta-analysis contained complete and relevant data from all five randomized controlled trials. We believe that one randomized controlled trial excluded in two of the meta-analyses should have been included, whereas one randomized controlled trial that was included in all meta-analyses, should have been excluded. After correction of the uncovered errors and exclusion of the randomized controlled trial that we deemed inappropriate, our new meta-analysis showed that CTG+ST monitoring significantly reduces the fetal scalp blood sampling usage (risk ratio 0.64; 95% confidence interval 0.47–0.88), total operative delivery rate (0.93; 0.88–0.99) and metabolic acidosis rate (0.61; 0.41–0.91). | en_US |
dc.language.iso | eng | eng |
dc.publisher | Wiley | eng |
dc.rights | Attribution CC BY-NC | eng |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/3.0/ | eng |
dc.subject | Cardiotocography | eng |
dc.subject | fetal surveillance | eng |
dc.subject | meta-analysis | eng |
dc.subject | metabolic acidosis | eng |
dc.subject | Randomized controlled trial | eng |
dc.subject | ST analysis | eng |
dc.title | A critical appraisal of the evidence for using cardiotocography plus ECG ST interval analysis for fetal surveillance in labor. Part II: The meta-analyses | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.date.updated | 2015-08-06T12:16:11Z | |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2014 The Authors | |
dc.identifier.doi | https://doi.org/10.1111/aogs.12412 | |
dc.identifier.cristin | 1152389 | |
dc.source.journal | Acta Obstetricia et Gynecologica Scandinavica | |
dc.source.40 | 93 | |
dc.source.14 | 6 | |
dc.source.pagenumber | 571-586 | |