Interobserver agreement: Individual CTG features show better agreement among investigators than the overall CTG assessment in cases of meconium-stained amniotic fluid

CTG parameters - baseline rate, variability, presence/absence of decelerations, and total width of decelerations in a 30-minute CTG interval - are features that can be interpreted with a high degree of objectivity and agreement with appropriate training, even without clinical experience. Since the categorization of CTGs into separate categories (normal, suspicious, and pathological) has a poor to moderate level of agreement, it indicates a need for discussion on whether it is worth continuing to rely on such CTG categorical stratification or base CTG judgements on more objective and high agreement parameters.