Transcription of ACOG PRACTICE BULLETIN - mnhospitals.org
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ACOG PRACTICE BULLETIN - mnhospitals.org
ACOG. PRACTICE . BULLETIN . CLINICAL management GUIDELINES FOR OBSTETRICIAN GYNECOLOGISTS. NUMBER 106, JULY 2009. Replaces PRACTICE BULLETIN Number 70, December 2005. Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General management Principles This PRACTICE BULLETIN was devel- In the most recent year for which data are available, approximately million oped by the ACOG Committee on fetuses (85% of approximately 4 million live births) in the United States were PRACTICE Bulletins with the assis- assessed with electronic fetal monitoring (EFM), making it the most common tance of George A. Macones, MD. obstetric procedure (1). Despite its widespread use, there is controversy about The information is designed to aid the efficacy of EFM, interobserver and intraobserver variability, nomenclature, practitioners in making decisions systems for interpretation, and management algorithms. Moreover, there is evi- about appropriate obstetric and dence that the use of EFM increases the rate of cesarean deliveries and opera- gynecologic care.
such as duration, intensity, and relaxation time between ... clinical situation and management strategies used. Category I FHR tracings are normal. ... with a duration of 15 seconds or more but less than 2 minutes from onset to return. • Before 32 weeks of gestation, an acceleration has a peak of 10 beats per minute or more above baseline ...
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