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Review of Three-Tier Fetal Heart Rate Interpretation System
http://www.perinatology.com/Fetal%20Monitoring/blog/2010/01/review-of-three-tier-fetal-heart-rate.html
Review of Three-Tier Fetal Heart Rate Interpretation System Category I : Normal. The fetal heart rate tracing shows ALL of the following: Baseline FHR 110-160 BPM, moderate FHR variability, accelerations may be present or absent, no late or variable decelerations, may have early decelerations.
Evaluation of 3-tier and 5-tier FHR pattern classifications …
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0228630
At present, the 3-tier classification based on FHR patterns is used in the United States, Canada, and UK. The classification in the United States is defined as Category I, II, III, and in Canada, as Normal, Atypical, and Abnormal [ 7 ]. In the UK, there is a 3-tier description classified as Reassuring, Non-reassuring, and Abnormal.
Use of three-tier classification system during
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 …
CASE BOOK 2008 NICHD THREE-TIER FETAL HEART RATE …
https://ncc-efm.org/filz/NICHD_Reference_from_CCPR.pdf
THREE-TIER FHR SYSTEM. Category I. Category I FHR tracings include all of the following: • Baseline FHR: 110-160 bpm • Baseline FHR variability: moderate • Late or variable decelerations: absent • Early decelerations: present or absent • Accelerations: present or absent. Category II. Category II FHR tracings include all tracings not categorized as Category I or Category . III.
Interobserver and intraobserver reliability of the NICHD 3 …
https://www.sciencedirect.com/science/article/pii/S0002937811008349
The Figure describes the classification of the 120 unique FHR tracings by NICHD category by the 3 examiners. Overall, 28.3% (n = 102) FHR tracings were classified as category I, while 62.2% (n = 224) were classified as category II and 1.9% (n = 7) were classified as category III. Twenty-seven (7.5%) FHR tracings were described as “uninterpretable.”
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
The American College of Obstetricians and Gynecologists (ACOG) developed a new three-tiered classification system of fetal heart rate abnormalities and a system for interpreting these abnormalities. ACOG published classifications and recommendations based on the appearance of the fetal heart tracing to provide some basis of decision making.
The 5-tier system of assessing fetal heart rate tracings is …
https://pubmed.ncbi.nlm.nih.gov/22244473/
Tracings were categorized into 3- and 5-tier systems by a single reviewer. Sensitivities and specificities were calculated for each. Results: The sensitivity for an orange or red tracing was higher than for category III, with more of these in the pH <7 …
UpToDate
https://www.uptodate.com/contents/intrapartum-category-i-ii-and-iii-fetal-heart-rate-tracings-management
Major outputs from this workshop were clearer standards for FHR interpretation ( table 1) and a three-tier system for the categorization of intrapartum EFM ( table 2A ). This system has been widely adopted in the United States …
ACOG Changes FHR Monitoring Guidelines — Day on Torts — June …
https://www.dayontorts.com/medical-negligence-acog-changes-fhr-monitoring-guidelines.html
One notable update in the guidelines is the three-tier classification system for FHR tracings (print-outs of the fetal heart rate). Category 1 FHR tracings are considered normal and no specific action is required. Category 2 tracings are considered indeterminate.
The 5-tier system of assessing fetal heart rate tracings is …
https://obgynkey.com/the-5-tier-system-of-assessing-fetal-heart-rate-tracings-is-superior-to-the-3-tier-system-in-identifying-fetal-acidemia/
Tracings were categorized into 3- and 5-tier systems by a single reviewer. Sensitivities and specificities were calculated for each. Results Twenty-four cases and 24 controls were identified. The sensitivity for an orange or red tracing was higher than for category III, with more of these in the pH <7 group compared with controls ( P ≤ .001).
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