Management of Abnormal FHR TracingsInterpretation of Fetal Heart Rate Monitoring in the Clinical ContextHOLMGREN, CALLA MDAuthor Information Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah The author declares that there is nothing to disclose. Correspondence: Calla Holmgren, MD, Suite 100, Salt Lake City, UT. E-mail: [email protected] Clinical Obstetrics and Gynecology: September 2020 - Volume 63 - Issue 3 - p 625-634 doi: 10.1097/GRF.0000000000000554 Buy Metrics Abstract Use of intrapartum fetal heart rate (FHR) monitoring has had limited success in preventing hypoxic injury to neonates. One of the most common limitations of FHR interpretation is the failure to consider chronic and acute clinical factors that may increase the risk of evolving acidemia. This manuscript reviews common clinical factors that may affect the FHR and should be considered when determining the need for early intervention based on changes in the FHR. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.