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Letters to the Editor

This study demonstrates that the “cumulative deceleration area” performs poorly and the study data calls for scientific classification of FHR decelerations

(Re: Furukawa A, Neilson D, Hamilton E. Cumulative deceleration area: a simplified predictor of metabolic acidemia. J Matern Fetal Neonatal Med. 2019 Oct 21:1–8)

Pages 1583-1584 | Received 15 Dec 2019, Accepted 20 Apr 2020, Published online: 29 Apr 2020

References

  • Furukawa A, Neilson D, Hamilton E. Cumulative deceleration area: a simplified predictor of metabolic acidemia. J Matern Fetal Neonatal Med. 2019;30(21):1–8.
  • Steer PJ, Kovar I, McKenzie C, et al. Computerised analysis of intrapartum fetal heart rate patterns and adverse outcomes in the INFANT trial. BJOG: Int J Obstet Gy. 2019;126(11):1354–1361.
  • Frasch MG, Mansano RZ, Gagnon R, et al. Measures of acidosis with repetitive umbilical cord occlusions leading to fetal asphyxia in the nearterm ovine fetus. Am J Obstet Gynecol. 2009;200(2):200.e1–200.e7.
  • Turner JM, Mitchell MD, Kumar S. The physiology of intrapartum fetal compromise at term. Am J Obstet Gynecol. 2020;222:17–26.
  • Sholapurkar SL. Myths at the core of intrapartum cardiotocography interpretation -risks of false ideology, prospect theory and way forward. Clin Obstet Gynecol Reprod Med. 2019;5:1–9.
  • Amrhein V, Greenland S, McShane B. Scientists rise up against statistical significance. Nature. 2019;567(7748):305–307.
  • Sholapurkar SL. Study of interpretation of Cardiotocography educational illustrations by experts discarding early/late/variable deceleration categorization – physiology or unscientific ideology, myths and Road to Perdition? Ann Obstet Gynecol. 2019;2(1):1010–1019.
  • Cahill AG, Tuuli MG, Stout MJ, et al. A prospective cohort study of fetal heart rate monitoring: deceleration area is predictive of fetal acidemia. Am J Obstet Gynecol. 2018;218(5):523.e1–523.e12.
  • Sholapurkar SL. Categorization of fetal heart rate decelerations in American and European practice: importance and imperative of avoiding framing and confirmation biases. J Clin Med Res. 2015;7(9):672–680.

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