Korean J Perinatol.
2011 Sep;22(3):169-180.
Standardized Approach to Intrapartum Fetal Heart Rate Monitoring
- Affiliations
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- 1Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ohsymd@skku.edu
Abstract
- Intrapartum fetal heart rate monitoring (FHR) was introduced in the 1970's in this country for the hope of preventing intrapartum hypoxic fetal events. The proper interpretation and the following management of intrapartum FHR are among the items that the obstetricians should be well informed of. This review summarizes the standardized FHR monitoring definition and interpretation based on the report from National Institute of Child Health and Human Development in 2008 and offers updated guidelines suggested by American College of Obstetrics and Gynecology in 2010. This review also details on the intrauterine resuscitation and finally demonstrates recent evidences about the impact of standardization of intrapartum management on adverse perinatal outcomes.