Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General Management Principles

  • Kate C. Arnold
  • Caroline J. Flint


Intrapartum monitoring is designed to detect fetal metabolic acidosis and to prevent hypoxia. Prior to its implementation, intrapartum fetal death rates were between 3 and 4 per 1000. A normal tracing reliably predicts a well-oxygenated fetus; however, an abnormal tracing is less predictive of fetal status. The three-tiered fetal heart rate interpretation system should be used to assist in determining fetal status [1].


Electronic fetal monitoring Deceleration Acceleration Variability Amnioinfusion 


  1. 1.
    Gabbe SG, Niebyl JR, Simpson JL, Landon MB, Galan HL, Jauniaux ERM, Driscoll DA. Obstetrics: normal and problem pregnancies. Chapter 16. 6th ed. Philadelphia, PA: Elsevier; 2012.Google Scholar
  2. 2.
    American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 106: intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. Obstet Gynecol. 2009;114:192–202.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Kate C. Arnold
    • 1
  • Caroline J. Flint
    • 1
  1. 1.Department of OB/GYNUniversity of Oklahoma HSCOklahoma CityUSA

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