Practice bulletin no. 116: Management of intrapartum fetal heart rate tracings

Obstet Gynecol. 2010 Nov;116(5):1232-40. doi: 10.1097/AOG.0b013e3182004fa9.


Intrapartum electronic fetal monitoring (EFM) is used for most women who give birth in the United States. As such, clinicians are faced daily with the management of fetal heart rate (FHR) tracings. The purpose of this document is to provide obstetric care providers with a framework for evaluation and management of intrapartum EFM patterns based on the new three-tiered categorization.

MeSH terms

  • Arrhythmias, Cardiac / diagnosis
  • Arrhythmias, Cardiac / therapy
  • Cardiotocography*
  • Female
  • Fetal Diseases / diagnosis
  • Fetal Diseases / therapy
  • Heart Rate, Fetal*
  • Humans
  • Pregnancy