Observational studyInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026
Interobserver agreement among midwives in cardiotocography interpretation using the 2015 FIGO guidelines for intrapartum fetal monitoring: A retrospective study.
Observational study in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the interobserver agreement among midwives for the classification of intrapartum cardiotocography (CTG) tracings and their main parameters-that is, fetal heart rate baseline, variability and decelerations-according to the 2015 FIGO guidelines.
methodsThis was a retrospective, single center observational study conducted at the Maternity Hospital of the University of Parma, Italy between January and September 2024. We selected 100 non-consecutive intrapartum CTG tracings before operative delivery. A total of six participating midwives (3 senior and 3 junior) received the last 60 min of CTG recordings and classified the trace at the moment of the decision for the operative delivery. The main outcome was the interobserver agreement of the overall interpretation of the CTG tracings. Secondary outcomes included the interobserver agreement for each individual CTG parameter. The agreement between the observers was estimated through the Fleiss' kappa (κ).
resultsThe overall interobserver agreement for CTG interpretation was fair (κ = 0.35, 95% confidence interval [CI]: 0.31-0.38). The highest agreement was observed for the normal category (κ = 0.50, 95% CI: 0.45-0.55), while suspicious and pathologic classifications showed lower agreement (κ = 0.25, 95% CI: 0.20-0.30 and 0.37, 95% CI: 0.32-0.42, respectively). Among CTG parameters, decelerations achieved the highest agreement (κ = 0.48, 95% CI: 0.43-0.53), followed by baseline rate (κ = 0.43, 95% CI: 0.39-0.47). In contrast, agreement on variability was poor (κ = 0.20, 95% CI: 0.16-0.24).
conclusionThe overall interobserver agreement for intrapartum CTG interpretation using the 2015 FIGO guidelines was fair. Agreement for individual parameters varied widely.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.