What is intrapartum fetal monitoring?

Intrapartum fetal monitoring to assess fetal well-being during the labor and delivery process has been a central component of intrapartum care for decades. Today, electronic fetal monitoring (EFM) is the most common method used to assess the fetus during labor without substantial evidence to suggest a benefit.

What is an essential intrapartum fetal assessment?

intrapartum fetal assessments are performed to assess fetal well-being during labor and delivery. biophysical profile (BPP)

What is a Category 1 FHR tracing?

Category I FHR tracings are considered to be “normal” and are not typically associated with fetal complications, such as acidemia and can be managed either through continuous monitoring or through periodic monitoring.

What is the meaning of intrapartum?

The time period spanning childbirth, from the onset of labor through delivery of the placenta. Intrapartum can refer to both the woman and the fetus. Related Term(s)

What is a Category 3 FHR?

NICHD Category III (CIII) fetal heart rate tracing (FHR) is defined as having either sinusoidal pattern or absent baseline variability plus recurrent late decelerations, recurrent variable decelerations, or bradycardia.

What does Category 3 tracing mean?

Category III: Abnormal. The fetal heart rate tracing shows EITHER of the following: Sinusoidal pattern OR absent variability with recurrent late decelerations, recurrent variable decelerations, or bradycardia. Predictive of abnormal fetal-acid base status at the time of observation.

What are the commonly used methods of intrapartum fetal monitoring?

Intrapartum FHR trace was recorded simultaneously using three different methods: internal fetal scalp electrode, external Doppler, and EUM. The latter, a multichannel electromyogram (EMG) device acquires a uterine signal and maternal and fetal electrocardiograms.