Steer PJ, et al. - Researchers performed a prospective cohort study within a randomized controlled trial to determine the reliability of a computerized decision support system in identifying abnormal fetal heart rate (FHR) patterns in fetuses with adverse neonatal outcomes in the INFANT trial, and to examine if its use reduced substandard care. They included a total of 46,614 labors between January 6, 2010, and August 31, 2013, in the INFANT trial from 24 maternity units in the UK and Ireland. Outcomes revealed that computer analysis was unable to identify a significant proportion of abnormal fetal heart rate patterns accurately, and its use did not reduce the incidence of substandard care.