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Intrapartum Fetal Monitoring - American Family Physician
https://www.aafp.org/afp/2020/0801/p158.html#:~:text=CATEGORY%20II%20MANAGEMENT%20Category%20II%20tracings%20are%20defined,groups.%202%2C%205%20They%20vary%20widely%20in%20level
Management of the Category II Fetal Heart Rate Tracing
https://pubmed.ncbi.nlm.nih.gov/32649322/
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. Here we propose a management algorithm to identify specific features of the FHR tracing that correlate with risk for fetal acidemia, target ...
Intrapartum management of category II fetal heart rate …
https://pubmed.ncbi.nlm.nih.gov/23628263/
We present an algorithm for the management of category II FHR patterns that reflects a synthesis of available evidence and current scientific thought. Use of this algorithm represents one way for the clinician to comply with the standard of care, and may enhance our overall ability to define the benefits of intrapartum FHR monitoring.
Appendix P: Algorithm for the Management of Category II …
https://www.cmqcc.org/content/appendix-p-algorithm-management-category-ii-fetal-heart-tracings
category 2, fetal heart rate tracings, NICHD, latent phase, active phase, second stage Appendix P: Algorithm for the Management of Category II Fetal Heart Tracings | California Maternal Quality Care Collaborative
Management of Category II Fetal Heart Tracings (FHTs)
https://www.obstetricsinitiative.org/category-2-fhts
Background for Management of Category II Fetal Heart Tracings (FHTs): ... This project will focus on the implementation of standardized, evidence-based guidance for the management of category II fetal heart tracings through the use of a checklist or algorithm that guides clinical decision making. Published evidence supports that team huddles ...
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
the last 30 minutes of FHR tracings: –2.3% were Category l –97.6% were Category ll –.09% were Category lll Cahill, GA, et al. Am J ObstetGynecol2012; 207:206 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 • Moderate ...
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 [ 7 ]: 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 ...
Intrapartum management of category II fetal heart …
https://ilpqc.org/ILPQC%202020%2B/PVB/Toolkit/FI/ACOG%20PB%20106.pdf
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. Category I FHR tracings are strongly predictive of normal fetal acid—base
Algorithm for Management of Category 2 EFM (not meant for …
https://www.mnhospitals.org/Portals/0/Documents/patientsafety/Perinatal/5_OneSided_Category%202%20managemet%20handout%201.pdf
Once a Category II is established, the algorithm should be re-assessed every 30 minutes Significant Decelerations: Variable >60 second and >60 nadir below baseline Any type of Late Deceleration Any prolonged deceleration – Should exit the algorithm until resolved If the tracing becomes Category 1 or 3
Appendix p algorithm for Management of category II …
https://www.cmqcc.org/resource/3236/download
algorithm for Management of category II fetal heart rate tracings Clark SL, Nageotte MP, Garite TJ, et al. Intrapartum management of category IIfetalheartratetracings:toward standardizationofcare. AmJ Obstet Gynecol.2013;209(2):89-‐97.*Reprinted with permission Graphic reprinted with permission. Created Date: 4/23/2016 7:38:18 AM ...
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
patterns of Category II tracings increase the difficulty of interpretation of FHR tracings (2). Chiossi et al reported that interpretation of FHR nonreassuring patterns are fraught with both uncertainty and fear of missing a decompensating pregnancy (4). The quality of the FHR tracing and scaling used on the monitor also affect interpretation (8).
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