Abstract
Electronic fetal monitoring (EFM) is widely used to assess fetal status in labor. Use of intrapartum continuous EFM is associated with a lower risk of neonatal seizures but a higher risk of cesarean or operative delivery. Category II fetal heart tracings (FHTs) are indeterminate in their ability to predict fetal acidemia. Certain patterns of decelerations and variability within this category may be predictive of neonatal morbidity. Adjunct tests of fetal well-being can be used during labor to further triage patients. Intrauterine resuscitation techniques should target the suspected etiology of intrapartum fetal hypoxia. Clinical factors play a role in the interpretation of EFM.
Original language | English |
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Pages (from-to) | 615-624 |
Number of pages | 10 |
Journal | Obstetrics and Gynecology Clinics of North America |
Volume | 44 |
Issue number | 4 |
DOIs | |
State | Published - Dec 2017 |
Keywords
- Category II
- Electronic fetal monitoring
- Intrauterine resuscitation
- Management