Chapter 81. Intrapartum Fetal Heart Rate Monitoring

  1. John T. Queenan MD Professor Chairman Emeritus2,
  2. John C. Hobbins MD Professor of Obstetrics3 and
  3. Catherine Y. Spong MD Chief4
  1. Roger K. Freeman MD

Published Online: 30 APR 2009

DOI: 10.1002/9781444312904.ch81

Protocols for High-Risk Pregnancies, Fourth Edition

Protocols for High-Risk Pregnancies, Fourth Edition

How to Cite

Freeman, R. K. (2005) Intrapartum Fetal Heart Rate Monitoring, in Protocols for High-Risk Pregnancies, Fourth Edition (eds J. T. Queenan, J. C. Hobbins and C. Y. Spong), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444312904.ch81

Editor Information

  1. 2

    Department of Obstetrics and Gynecology, Georgetown University School of Medicine, 3257 N Street NW, Washington, DC 20007, USA

  2. 3

    University of Colorado Health Sciences Center, Department of Obstetrics and Gynecology, 4200 East 9th Avenue, B-198, Denver, CO 80262, USA

  3. 4

    National Institute of Child Health and Human Development, Center for Developmental Biology and Perinatal Medicine, Pregnancy and Perinatology Branch, National Institutes of Health, 6100 Executive Bivd, Bethesda, MD 20892-7510, USA

Author Information

  1. Long Beach Memorial Medical Center, Department of Obstetrics and Gynecology, 2801 Atlantic Avenue, Long Beach, CA 90801, USA

Publication History

  1. Published Online: 30 APR 2009
  2. Published Print: 9 SEP 2005

ISBN Information

Print ISBN: 9781405125796

Online ISBN: 9781444312904

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Keywords:

  • intrapartum fetal heart rate (FHR) monitoring;
  • evoking FHR accelerations with fetal scalp stimulation after membrane rupture;
  • early deceleration - with slow onset and offset of contraction;
  • variable deceleration - pattern by rapid onset and offset;
  • late deceleration - uniform decrease in FHR;
  • prolonged deceleration - lasting more than 2 minutes;
  • presence of chorioamnionitis and funisitis

Summary

This chapter contains sections titled:

  • Rationale for Intrapartum Fetal Heart Rate Monitoring

  • Pattern Interpretation

  • Management of Patients with Non-Reassuring FHR Patterns

  • Fetal Inflammatory Response to Maternal Chorioamnionitis

  • Medicolegal Implications Of Intrapartum FHR Monitoring

  • References