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The 2008 National Institute of Child Health and Human Development Workshop Report on Electronic Fetal Monitoring: Update on Definitions, Interpretation, and Research Guidelines

Macones, George A. MD1; Hankins, Gary D.V. MD2; Spong, Catherine Y. MD3; Hauth, John MD4; Moore, Thomas MD5

doi: 10.1097/AOG.0b013e3181841395
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In April 2008, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine partnered to sponsor a 2-day workshop to revisit nomenclature, interpretation, and research recommendations for intrapartum electronic fetal heart rate monitoring. Participants included obstetric experts and representatives from relevant stakeholder groups and organizations. This article provides a summary of the discussions at the workshop. This includes a discussion of terminology and nomenclature for the description of fetal heart tracings and uterine contractions for use in clinical practice and research. A three-tier system for fetal heart rate tracing interpretation is also described. Lastly, prioritized topics for future research are provided.

Guidelines for describing and interpreting intrapartum fetal heart rate tracings are provided Supplemental Digital Content is Available in the Text.

From the 1Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, Missouri; 2Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; 3Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland; 4Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama; and 5Department of Obstetrics and Gynecology, University of California at San Diego, San Diego, California.

See related editorial on page 506.

For a list of workshop participants, see the Appendix online at www.greenjournal.org/cgi/content/full/112/3/661/DC1.

The workshop was jointly sponsored by the American College of Obstetricians and Gynecologists, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, and the Society for Maternal-Fetal Medicine.

The recommendations from the National Institute of Child Health and Human Development 2008 Workshop are being published simultaneously by Obstetrics & Gynecology and the Journal of Obstetric, Gynecologic, & Neonatal Nursing.

Corresponding author: George A. Macones, MD, Chair, Department of Obstetrics and Gynecology, Washington University in St Louis, MI 63110; e-mail: maconesg@wustl.edu.

Financial Disclosure The authors have no potential conflicts of interest to disclose.

© 2008 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.