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    Williams Obstetrics: Pattern Workshop Interpretations

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    Datangaru Prasetya
    This document defines various fetal heart rate patterns observed during electronic fetal monitoring, as interpreted by experts at the National Institute of Child Health and Human Development Research Planning Workshop: 1) Baseline is the mean fetal heart rate rounded to 5 bpm increments during a 10-minute segment, excluding periodic changes or segments differing by over 25 bpm. 2) Baseline variability is fluctuations of two cycles per minute or greater, and is classified as absent, minimal, moderate, or marked depending on the amplitude range in beats per minute. 3) Accelerations are increases in fetal heart rate of over 15 bpm above baseline lasting less than 2 minutes, while prolonged accelerations last over 2 minutes but less than 10

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    Williams Obstetrics: Pattern Workshop Interpretations

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    Datangaru Prasetya
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    This document defines various fetal heart rate patterns observed during electronic fetal monitoring, as interpreted by experts at the National Institute of Child Health and Human Development Research Planning Workshop: 1) Baseline is the mean fetal heart rate rounded to 5 bpm increments during a 10-minute segment, excluding periodic changes or segments differing by over 25 bpm. 2) Baseline variability is fluctuations of two cycles per minute or greater, and is classified as absent, minimal, moderate, or marked depending on the amplitude range in beats per minute. 3) Accelerations are increases in fetal heart rate of over 15 bpm above baseline lasting less than 2 minutes, while prolonged accelerations last over 2 minutes but less than 10

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    This document defines various fetal heart rate patterns observed during electronic fetal monitoring, as interpreted by experts at the National Institute of Child Health and Human Development Research Planning Workshop: 1) Baseline is the mean fetal heart rate rounded to 5 bpm increments during a 10-minute segment, excluding periodic changes or segments differing by over 25 bpm. 2) Baseline variability is fluctuations of two cycles per minute or greater, and is classified as absent, minimal, moderate, or marked depending on the amplitude range in beats per minute. 3) Accelerations are increases in fetal heart rate of over 15 bpm above baseline lasting less than 2 minutes, while prolonged accelerations last over 2 minutes but less than 10

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    18 views2 pages

    Williams Obstetrics: Pattern Workshop Interpretations

    Uploaded by

    Datangaru Prasetya
    This document defines various fetal heart rate patterns observed during electronic fetal monitoring, as interpreted by experts at the National Institute of Child Health and Human Development Research Planning Workshop: 1) Baseline is the mean fetal heart rate rounded to 5 bpm increments during a 10-minute segment, excluding periodic changes or segments differing by over 25 bpm. 2) Baseline variability is fluctuations of two cycles per minute or greater, and is classified as absent, minimal, moderate, or marked depending on the amplitude range in beats per minute. 3) Accelerations are increases in fetal heart rate of over 15 bpm above baseline lasting less than 2 minutes, while prolonged accelerations last over 2 minutes but less than 10

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    © All Rights Reserved
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    Download as docx, pdf, or txt
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    Williams

    OBSTETRICS
    The National Institute of Child Health and Human Development Research Planning Workshop
    Definitions of Fetal Heart Rate Patterns
    Pattern

    Workshop Interpretations

    Baseline

    The mean FHR rounded to increments of 5 bpm during a 10-min segment,


    excluding:
    Periodic or episodic changes
    Periods of marked FHR variability
    Segments of baseline that differ > 25 bpm

    Baseline
    variability

    The baseline must be for a minimum of 2 min in any 10-min segment


    Fluctuations in the FHR of two cycles per min or greater
    Variability is visually quantified as the amplitude of peak-to-trough in bpm
    Absentamplitude range undetectable
    Minimalamplitude range detectable but < 5 bpm
    Moderate (normal)amplitude range 6 25 bpm
    Markedamplitude range> 25 bpm

    Acceleration

    A visually apparent increaseonset to peak in less than 30 secin the


    FHR from the most recently calculated baseline
    The duration of an acceleration is defined as the time from the initial
    change in FHR from the baseline to the return of the FHR to the baseline
    At 32 weeks and beyond, an acceleration has an acme of > 15 bpm above
    baseline, with a duration of > 15 sec but < 2 min
    Before 32 weeks, an acceleration has an acme 10 bpm above baseline,
    with a duration of > 10 sec but < 2 min
    Prolonged acceleration lasts > 2 min, but < 10 min
    If an acceleration lasts > 10 min, it is baseline change

    Bradycardia

    Baseline FHR < 110 bpm

    Early deceleration

    In association with a uterine contraction, a visually apparent, usually


    symmetrical, gradual onset to nadir > 30 sec decrease in FHR with
    return to baseline
    Nadir of the deceleration occurs at the same time as the peak of the
    contraction

    Late deceleration

    In association with a uterine contraction, a visually apparent, gradual


    onset to nadir < 30 sec decrease in FHR with return to baseline
    Onset, nadir, and recovery of the deceleration occur after the beginning,
    peak, and end of the contraction, respectively

    Tachycardia

    Baseline FHR > 160 bpm

    Variable
    deceleration

    An abrupt onset to nadir < 30 sec, visually apparent decrease in the FHR
    below the baseline
    The decrease in FHR is > 15 bpm, with a duration of > 15 sec but < 2 min

    Prolonged
    deceleration

    Visually apparent decrease in the FHR below the baseline


    Deceleration is > 15 bpm, lasting > 2 min but < 10 min from onset to
    return to baseline

    BPM = beats per minute


    FHR = fetal heart rate.
    Reprinted from American Journal of Obstetrics & Gynecology, Vol. 177, No. 6, National
    Institute of Child Health and
    Human Development Research Planning Workshop, Electronic fetal heart rate monitoring:
    Research guidelines for interpretation,
    pp. 13851390, Copyright 1997, with permission from Elsevier.

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