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UpToDate
https://www.uptodate.com/contents/intrapartum-category-i-ii-and-iii-fetal-heart-rate-tracings-management
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 of tracings.
Review of Category I, II, and III Fetal Heart Rate …
https://jfmo.cchs.ua.edu/files/2014/04/REVIEW-OF-CATEGORY-I-II-and-III.pdf
guidelines for evaluating fetal heart rate tracings exist, there is still a gray area present in the Class II fetal heart tracings and how to manage the fetal heart tracings in the context of the patient. For those who are aware of the recommendations, this gray area of management still leads to variability in how delivery may ensue.
Management of the Category II Fetal Heart Rate Tracing
https://pubmed.ncbi.nlm.nih.gov/32649322/
Management of the Category II Fetal Heart Rate Tracing Abstract Management of the category II fetal heart rate (FHR) tracing presents a common challenge in obstetrics. Up to 80% of women will have a category II FHR tracing at some point during labor.
Interpreting Category II Fetal Heart Rate Tracings: Does …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4252698/
This was defined as a category II FHR tracing for ≥ 40 of the 60 minutes prior to delivery. Forty minutes was selected as the duration to represent a predominately category II FHR tracing because each tracing was analyzed in 10 minute increments in this study.
Intrapartum Fetal Heart Rate Monitoring - Perinatology.com
http://www.perinatology.com/Fetal%20Monitoring/Intrapartum%20Monitoring.htm
Baseline variability is defined as fluctuations in the fetal heart rate of more than 2 cycles per minute. No distinction is made between short-term variability (or beat-to-beat variability or R-R wave period differences in the electrocardiogram) and long-term variability. Grades of fluctuation are based on amplitude range (peak to trough):
Management of Category 2 Tracings-A Guideline - Minnesota …
http://www.nursemidwivesmn.org/wp-content/uploads/2015/03/Management-of-Category-2-Tracings-A-Guideline.handout.pdf
Category 1 and Category 3 Tracings: A review of definitions Category lincludes all of the following: • Baseline rate 110-160 bpm • Accelerations present or absent ... Normal fetal heart rate tracing Metabolic acidemia and potential injury Recurrent decelerations Minimal-absent variability AJOG 1982;148:533-539, AJOG 1982;144(1):55-60, OG ...
Stop staring at that Category-II fetal heart-rate tracing…
https://www.mdedge.com/obgyn/article/65272/obstetrics/stop-staring-category-ii-fetal-heart-rate-tracing
A Cat-II tracing is neither normal nor definitively abnormal. Namely: If FHR accelerations or moderate variability are detected, the fetus is unlikely to be currently acidemic. If fetal heart accelerations are absent and variability is absent or minimal, the risk of fetal acidemia increases.
Intrapartum management of category II fetal heart …
https://ilpqc.org/ILPQC%202020%2B/PVB/Toolkit/FI/ACOG%20PB%20106.pdf
Categorization of the FHR tracing evaluates the fetus at that point in time; tracing patterns can and will change. An FHR tracing may move back and forth between the categories depending on the clinical situation and management strategies used. Category I FHR tracings are normal.
Overview of Interpreting Fetal Heart Rate Tracings - FLAME
https://www.flame.rocks/uploads/3/8/4/4/38447721/53_-_overview_of_fhrt__lf_9.9.14_.pdf
u Identification of fetal hypoxia à opportunity to intervene u Decreased risk of severe metabolic acidosis leading to fetal neurologic injury or death Antepartum Fetal Distress Cascade: Fetal heart rate changes appear early H Y P O X I A A C I D O S I S LATE DECELERATIONS APPEAR (CST) ACCELERATIONS DISAPPEAR (NST) BREATHING STOPS (BPP)
Category III Fetal Heart Strips: How to Read - Miller & Zois
https://www.millerandzois.com/birth-injuries-fetal-heart-strips-level-iii.html
What Is a Category 2 Fetal Heart Tracing? A Category 2 fetal heart tracing is indeterminate and requires further evaluation, clinical correlation, and continued surveillance. A Category 2 tracing is cause for concern and common at the same time. They are a warning sign> yet most pregnancies have at least one Category 2 tracing.
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