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Intrapartum Fetal Heart Rate Definitions and Interpretation: Evolving Consensus

MILLER, DAVID A. MD

Clinical Obstetrics & Gynecology: March 2011 - Volume 54 - Issue 1 - p 16–21
doi: 10.1097/GRF.0b013e31820a04e5
Intrapartum Fetal Heart Rate Monitoring

A review of standardized fetal heart rate (FHR) monitoring definitions and interpretation. Evidence suggests that standardization of intrapartum management can reduce adverse outcomes and professional liability claims. However, standardization of FHR monitoring has been impeded by a lack of consensus on standard definitions and interpretation. In recent years, consensus has been achieved regarding several important aspects of intrapartum FHR monitoring. As a result, the prospect of standardization has become a reality.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California

Correspondence: David A. Miller, MD, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Clinical Obstetrics, Gynecology and Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, 1300 North Vermont Avenue, Doctors’ Tower Suite 301, Los Angeles, CA. e-mail: dmiller@usc.edu

© 2011 Lippincott Williams & Wilkins, Inc.