| Literature DB >> 23628263 |
Steven L Clark1, 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.
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.Entities:
Keywords: fetal heart rate monitoring; neonatal encephalopathy; patient safety
Mesh：
Year: 2013 PMID： 23628263 DOI： 10.1016/j.ajog.2013.04.030
Source DB: PubMed Journal: Am J Obstet Gynecol ISSN： 0002-9378 Impact factor: 8.661