MEDICAL EBOOK DOWNLOAD, ACOG PRACTICE BULLETIN NUMBER 106, JULY 2009, Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General Management Principles

MEDICAL EBOOK DOWNLOAD

ACOG PRACTICE BULLETIN NUMBER 106, JULY 2009

Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General Management Principles

DOWNLOAD:
Intrapartum_Fetal_Heart_Rate_Monitoring_Nomenclature__Interpretation__and_General_Management_Princip

In the most recent year for which data are available, approximately 3.4 million
fetuses (85% of approximately 4 million live births) in the United States were
assessed with electronic fetal monitoring (EFM), making it the most common
obstetric procedure (1). Despite its widespread use, there is controversy about
the efficacy of EFM, interobserver and intraobserver variability, nomenclature,
systems for interpretation, and management algorithms. Moreover, there is evidence
that the use of EFM increases the rate of cesarean deliveries and operative
vaginal deliveries. The purpose of this document is to review nomenclature
for fetal heart rate assessment, review the data on the efficacy of EFM, delineate
the strengths and shortcomings of EFM, and describe a system for EFM
classification.