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Management of Intrapartum Fetal Heart Rate Tracings
https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2010/11/management-of-intrapartum-fetal-heart-rate-tracings
ABSTRACT: Intrapartum electronic fetal monitoring (EFM) is used for most women who give birth in the United States. As such, clinicians are faced daily with the management of fetal heart rate (FHR) tracings. The purpose of this document is to provide obstetric care providers with a framework for evaluation and management of intrapartum EFM patterns based on the new …
Intrapartum Fetal Heart Rate Monitoring: Nomenclature
https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2009/07/intrapartum-fetal-heart-rate-monitoring-nomenclature-interpretation-and-general-management-principles
Moreover, there is evidence that the use of EFM increases the rate of cesarean deliveries and operative vaginal deliveries. The purpose of this document is to review nomenclature for fetal heart rate assessment, review the data on the efficacy of EFM, delineate the strengths and shortcomings of EFM, and describe a system for EFM classification.
Intrapartum Fetal Monitoring - American Family Physician
https://www.aafp.org/afp/2020/0801/p158.html
Category II tracings are defined as indeterminate, are common, and represent all tracings that do not fall into the Category I or III groups.2, 5 They vary widely in …
Intrapartum fetal heart rate monitoring: Overview
https://www.uptodate.com/contents/intrapartum-fetal-heart-rate-monitoring-overview#!
Intrapartum management of category I, II, and III FHR tracing is reviewed separately (see "Intrapartum category I, II, and III fetal heart rate tracings: Management"). Antepartum FHR monitoring (nonstress test, contraction stress test) is also reviewed separately. (See "Nonstress test and contraction stress test" .)
Implementation of a revised classification for intrapartum …
https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.14296
The fewer EFM tracings considered normal, the higher the sensitivity of the classification but at the cost of a very low specificity. 4 Sensitivity of EFM is also difficult to assess, given that the goal of intrapartum EFM is to prevent hypoxia-related injury rather than diagnose one that has already occurred.
UpToDate
https://www.uptodate.com/contents/intrapartum-category-i-ii-and-iii-fetal-heart-rate-tracings-management
A study of the intrapartum FHR characteristics of over 48,000 patients in labor with a singleton, nonanomalous fetus at term at 10 hospitals reported the following : At some point during labor, category I patterns were observed in over 99 percent of tracings, category II patterns were observed in 84 percent of tracings, and category III patterns were observed in 0.1 percent …
Update on Fetal Monitoring: Overview of Approaches and …
https://pubmed.ncbi.nlm.nih.gov/29078943/
Electronic fetal monitoring (EFM) is widely used to assess fetal status in labor. Use of intrapartum continuous EFM is associated with a lower risk of neonatal seizures but a higher risk of cesarean or operative delivery. Category II fetal heart tracings (FHTs) are indeterminate in their ability to predict fetal acidemia.
Use of three-tier classification system during intrapartum electronic ...
https://www.researchgate.net/publication/228480411_Use_of_three-tier_classification_system_during_intrapartum_electronic_fetal_heart_rate_monitoring
ACOG's Practice Bulletin 116 recommends the use of the three-tier classification system for FHR tracings. Category 1 FHR tracings are considered normal …
How to Approach Intrapartum Category II Tracings
https://pubmed.ncbi.nlm.nih.gov/26002172/
Understanding what drives the tracings is key to managing them. Category II FHR patterns are by far the most common and most diverse patterns, leading to broad variation in care. Presented here is an algorithm for standardization of management of category II FHR tracings, based on the pathophysiology of decelerations, that can be followed in ...
Practice bulletin no. 116: Management of intrapartum fetal heart …
https://pubmed.ncbi.nlm.nih.gov/20966730/
Intrapartum electronic fetal monitoring (EFM) is used for most women who give birth in the United States. As such, clinicians are faced daily with the management of fetal heart rate (FHR) tracings. The purpose of this document is to provide obstetric care providers with a framework for evaluation and management of intrapartum EFM patterns based on the new three-tiered …
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