Current status and recommendations for intrapartum monitoring of fetal heart rate

Česká verzia

Authors: A. Měchurová ¹; P. Velebil ¹; Lukáš Hruban ² ; Petr Janků ²
Authors place of work: Ústav pro péči o matku a dítě, Praha, doc. MUDr. J. Feyereisl, CSc. ¹; Gynekologicko-porodnická klinika LF MU a FN, Brno, přednosta prof. MUDr. P. Ventruba, DrSc. ²
Published in the journal: Ceska Gynekol 2016; 81(2): 112-124

Summary

Monitoring of fetal heart rate is one of the basic components of obstetrical care, in which the cardiotocography remains the gold standard and screening method in early diagnosis of fetal hypoxia, even after introduction of other selective methods of intrauterine monitoring of fetal well-being. The review article is divided into several parts: pathophysiology of fetal oxygenation, fetal heart rate and changes of fetal hemodynamics, and rules for fetal heart rate auscultation. The main principles of cardiotocographic monitoring and evaluation of ante- and intrapartrum recordings according to the FIGO criteria from 1986 and evaluation of intrapartum recordings according to the 2015 FIGO recommendations are mentioned. At the end a comparative table of 1986 FIGO and 2015 FIGO criteria is presented.

Design:
Review.

Keywords:
cardiotocography (CTG), CTG classification – FIGO 1986, FIGO 2015, diagnosis of fetal hypoxia, auscultation of fetal heart, fetal monitoring in utero

Zdroje

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