Intrapartum management of category II fetal heart rate tracings: Towards standardization of care

Steven L. Clark, Michael P. Nageotte, Thomas J. Garite, Roger K. Freeman, David A. Miller, Kathleen R. Simpson, Michael A. Belfort, Gary A. Dildy, Julian T. Parer, Richard L. Berkowitz, Mary D'Alton, Dwight J. Rouse, Larry C. Gilstrap, Anthony M. Vintzileos, J. Peter Van Dorsten, Frank H. Boehm, Lisa A. Miller, Gary D.V. Hankins

Research output: Contribution to journalArticle

79 Scopus citations

Abstract

There is currently no standard national approach to the management of category II fetal heart rate (FHR) patterns, yet such patterns occur in the majority of fetuses in labor. Under such circumstances, it would be difficult to demonstrate the clinical efficacy of FHR monitoring even if this technique had immense intrinsic value, since there has never been a standard hypothesis to test dealing with interpretation and management of these abnormal patterns. 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.

Original languageEnglish (US)
Pages (from-to)89-97
Number of pages9
JournalAmerican journal of obstetrics and gynecology
Volume209
Issue number2
DOIs
StatePublished - Aug 1 2013

Keywords

  • fetal heart rate monitoring
  • neonatal encephalopathy
  • patient safety

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Clark, S. L., Nageotte, M. P., Garite, T. J., Freeman, R. K., Miller, D. A., Simpson, K. R., Belfort, M. A., Dildy, G. A., Parer, J. T., Berkowitz, R. L., D'Alton, M., Rouse, D. J., Gilstrap, L. C., Vintzileos, A. M., Van Dorsten, J. P., Boehm, F. H., Miller, L. A., & Hankins, G. D. V. (2013). Intrapartum management of category II fetal heart rate tracings: Towards standardization of care. American journal of obstetrics and gynecology, 209(2), 89-97. https://doi.org/10.1016/j.ajog.2013.04.030