A framework for standardized management of intrapartum fetal heart rate patterns

Based on Julian T. Parer MD, et al article. For more information see Help (FAQs)

Variability:

FHR:

Decelerations:

Fetal acidemia gradations

Definition

Risk of acidemia, evolution of FHR patterns to more serious risk, and recommended action
Risk of acidemia	Risk of evolution of FHR patterns to more serious risk	Recommended action

Proposed management of the color-coded categories
Conservative techniques	Operating room	Obstetrician	Anesthetist	Newborn infant resuscitator	Location of patient

Conservative ameliorating techniques for the modification of variant FHR patterns

Position change

Hyperoxia

Correct hypotension

Adequate intravascular volume

Correct excessive contractions (eg, decrease oxytocin)

Avoid constant pushing

Tocolysis

Amnioinfusion to correct amniotic fluid deficit