The goal of peripartum fetal monitoring is improved neonatal outcomes, primarily neurological. Fetal monitoring may allow both obstetricians and anesthesiologists to provide more timely and specific intervention to the parturient and fetus, while ideally minimizing risks. Fetal monitoring technology has improved over the past 50 years, but classification and interpretation have lagged. It is hoped that increased attention to standardization of definitions, interpretation, and interventions, along with new emerging technology, will enhance electronic fetal monitoring’s effectiveness in assessment of fetal well-being and its contribution to better neonatal outcomes.
KeywordsObesity Catheter Ischemia Lactate Titration
- 4.Chen HY, Chauhan SP, Ananth CV, Vintzileos AM, Abuhamad AZ. Electronic fetal heart rate monitoring and its relationship to neonatal and infant mortality in the United States. Am J Obstet Gynecol. 2011;204:491.e1–10.Google Scholar
- 5.Alfirevic Z, Devane D, Gyte GM. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database Syst Rev. 2006;(3):CD006066.Google Scholar
- 13.American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 106: intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. Obstet Gynecol. 2009;114:192–202.Google Scholar
- 21.Parer JT, Hamilton EF. Comparison of 5 experts and computer analysis in rule-based fetal heart rate interpretation. Am J Obstet Gynecol. 2010;203:451.e1–7.Google Scholar
- 25.East CE, Leader LR, Sheehan P, Henshall NE, Colditz PB. Intrapartum fetal scalp lactate sampling for fetal assessment in the presence of a non-reassuring fetal heart rate trace. Cochrane Database Syst Rev. 2010;(3):CD006174.Google Scholar