Abstract
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].
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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.
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.
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Arnold, K.C., Flint, C.J. (2017). Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General Management Principles. In: Obstetrics Essentials. Springer, Cham. https://doi.org/10.1007/978-3-319-57675-6_16
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DOI: https://doi.org/10.1007/978-3-319-57675-6_16
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