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A Prospective Cohort Study of Fetal Heart Rate Monitoring: Deceleration Area Is Predictive of Fetal Acidemia

Cahill, Alison G.; Tuuli, Methodius G.; Stout, Molly J.; López, Julia D.; Macones, George A.

Obstetrical & Gynecological Survey: October 2018 - Volume 73 - Issue 10 - p 560–562
doi: 10.1097/01.ogx.0000547168.91377.39
OBSTETRICS: MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM

(Abstracted from Am J Obstet Gynecol 2018;218:523.e1–523.e12)

Intrapartum electronic fetal monitoring (EFM) is the most commonly used tool in obstetrics in the United States, used ubiquitously in US hospitals to monitor the fetal heart rate during labor. However, clear categorization of EFM patterns that predict acidemia remains unclear, and there is a lack of evidence supporting EFM's ability to reduce neonatal morbidity and mortality.

Department of Obstetrics and Gynecology, Washington University in St Louis, St Louis, MO

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