2013
DOI: 10.1016/j.ajog.2013.04.030
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Intrapartum management of category II fetal heart rate tracings: towards standardization of care

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Cited by 150 publications
(156 citation statements)
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“…For example, minimal or undetectable FHR variability in the presence of recurrent late decelerations or variable decelerations is a specific FHR pattern that is associated with the presence of fetal academia (Williams and Galerneau 2003;Parer et al 2006); medical intervention is then required depending on the progress of labor (Clark et al 2013). However, the relationship between a specific FHR pattern considering the patient's clinical background and histological CAM is yet to be established.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…For example, minimal or undetectable FHR variability in the presence of recurrent late decelerations or variable decelerations is a specific FHR pattern that is associated with the presence of fetal academia (Williams and Galerneau 2003;Parer et al 2006); medical intervention is then required depending on the progress of labor (Clark et al 2013). However, the relationship between a specific FHR pattern considering the patient's clinical background and histological CAM is yet to be established.…”
Section: Introductionmentioning
confidence: 99%
“…Electronic fetal heart rate (FHR) monitoring has been clinically used since the 1960s and is now a standard management technique to assess fetal well-being during the intrapartum period (American College of Obstetricians and Gynecologists 2010) and provide the obstetric management techniques for the healthcare provided (Clark et al 2013). For example, minimal or undetectable FHR variability in the presence of recurrent late decelerations or variable decelerations is a specific FHR pattern that is associated with the presence of fetal academia (Williams and Galerneau 2003;Parer et al 2006); medical intervention is then required depending on the progress of labor (Clark et al 2013).…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, good evidence has emerged in USA that a system with "variable" decelerations as vast majority leads to loss of information or discriminatory capacity of FHR decelerations [5,6,9]. The resultant dysfunction of the 3 tier system has led a group of American experts to propose a complex "algorithm" to which the vast majority (>80%) of laboring women will be subjected in addition to the 3 tier system [36]. However, besides many unanswered questions, there is no estimate of sensitivity of this "algorithm" in picking up cases of fetal hypoxemia or acidemia and it seems to be a leap of faith or belief.…”
Section: Implications For Future Clinical Practicetiming or Shape?mentioning
confidence: 99%
“…Recognizing the lack of utility of the NICHD Category II for actual labor management, Clark et al 11) suggested a further algorithm based on presence or absence of normal FHR variability, labor progress and stage of labor, and used certain duration-of-pattern recommendations for when to intervene with delivery. This algorithm was accompanied by numerous qualifiers and is currently undergoing study.…”
Section: A Previous Attempts To Standardize Fetal Heart Rate Patternmentioning
confidence: 99%