Intrapartum management of category II fetal heart rate tracings: Towards standardization of care

Steven L. Clark; Michael P. Nageotte; Thomas J. Garite; Roger K. Freeman; David A. Miller; Kathleen R. Simpson; Michael A. Belfort; Gary A. Dildy; Julian T. Parer; Richard L. Berkowitz; Mary D'Alton; Dwight J. Rouse; Larry C. Gilstrap; Anthony M. Vintzileos; J. Peter Van Dorsten; Frank H. Boehm; Lisa A. Miller; Gary D.V. Hankins

doi:10.1016/j.ajog.2013.04.030

Intrapartum management of category II fetal heart rate tracings: Towards standardization of care

Steven L. Clark, Michael P. Nageotte, Thomas J. Garite, Roger K. Freeman, David A. Miller, Kathleen R. Simpson, Michael A. Belfort, Gary A. Dildy, Julian T. Parer, Richard L. Berkowitz, Mary D'Alton, Dwight J. Rouse, Larry C. Gilstrap, Anthony M. Vintzileos, J. Peter Van Dorsten, Frank H. Boehm, Lisa A. Miller, Gary D.V. Hankins

Obstetrics & Gynecology

Research output: Contribution to journal › Article › peer-review

92 Scopus citations

Abstract

There is currently no standard national approach to the management of category II fetal heart rate (FHR) patterns, yet such patterns occur in the majority of fetuses in labor. Under such circumstances, it would be difficult to demonstrate the clinical efficacy of FHR monitoring even if this technique had immense intrinsic value, since there has never been a standard hypothesis to test dealing with interpretation and management of these abnormal patterns. We present an algorithm for the management of category II FHR patterns that reflects a synthesis of available evidence and current scientific thought. Use of this algorithm represents one way for the clinician to comply with the standard of care, and may enhance our overall ability to define the benefits of intrapartum FHR monitoring.

Original language	English (US)
Pages (from-to)	89-97
Number of pages	9
Journal	American journal of obstetrics and gynecology
Volume	209
Issue number	2
DOIs	https://doi.org/10.1016/j.ajog.2013.04.030
State	Published - Aug 2013

Keywords

fetal heart rate monitoring
neonatal encephalopathy
patient safety

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2013.04.030

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Clark, S. L., Nageotte, M. P., Garite, T. J., Freeman, R. K., Miller, D. A., Simpson, K. R., Belfort, M. A., Dildy, G. A., Parer, J. T., Berkowitz, R. L., D'Alton, M., Rouse, D. J., Gilstrap, L. C., Vintzileos, A. M., Van Dorsten, J. P., Boehm, F. H., Miller, L. A., & Hankins, G. D. V. (2013). Intrapartum management of category II fetal heart rate tracings: Towards standardization of care. American journal of obstetrics and gynecology, 209(2), 89-97. https://doi.org/10.1016/j.ajog.2013.04.030

Clark, SL, Nageotte, MP, Garite, TJ, Freeman, RK, Miller, DA, Simpson, KR, Belfort, MA, Dildy, GA, Parer, JT, Berkowitz, RL, D'Alton, M, Rouse, DJ, Gilstrap, LC, Vintzileos, AM, Van Dorsten, JP, Boehm, FH, Miller, LA & Hankins, GDV 2013, 'Intrapartum management of category II fetal heart rate tracings: Towards standardization of care', American journal of obstetrics and gynecology, vol. 209, no. 2, pp. 89-97. https://doi.org/10.1016/j.ajog.2013.04.030

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abstract = "There is currently no standard national approach to the management of category II fetal heart rate (FHR) patterns, yet such patterns occur in the majority of fetuses in labor. Under such circumstances, it would be difficult to demonstrate the clinical efficacy of FHR monitoring even if this technique had immense intrinsic value, since there has never been a standard hypothesis to test dealing with interpretation and management of these abnormal patterns. We present an algorithm for the management of category II FHR patterns that reflects a synthesis of available evidence and current scientific thought. Use of this algorithm represents one way for the clinician to comply with the standard of care, and may enhance our overall ability to define the benefits of intrapartum FHR monitoring.",

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author = "Clark, {Steven L.} and Nageotte, {Michael P.} and Garite, {Thomas J.} and Freeman, {Roger K.} and Miller, {David A.} and Simpson, {Kathleen R.} and Belfort, {Michael A.} and Dildy, {Gary A.} and Parer, {Julian T.} and Berkowitz, {Richard L.} and Mary D'Alton and Rouse, {Dwight J.} and Gilstrap, {Larry C.} and Vintzileos, {Anthony M.} and {Van Dorsten}, {J. Peter} and Boehm, {Frank H.} and Miller, {Lisa A.} and Hankins, {Gary D.V.}",

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doi = "10.1016/j.ajog.2013.04.030",

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AU - Miller, David A.

AU - Simpson, Kathleen R.

AU - Belfort, Michael A.

AU - Dildy, Gary A.

AU - Parer, Julian T.

AU - Berkowitz, Richard L.

AU - D'Alton, Mary

AU - Rouse, Dwight J.

AU - Gilstrap, Larry C.

AU - Vintzileos, Anthony M.

AU - Van Dorsten, J. Peter

AU - Boehm, Frank H.

AU - Miller, Lisa A.

AU - Hankins, Gary D.V.

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KW - neonatal encephalopathy

KW - patient safety

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Intrapartum management of category II fetal heart rate tracings: Towards standardization of care

Abstract

Keywords

ASJC Scopus subject areas

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