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Cardiotocography
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===FHR pattern classification=== Before 2008, fetal heart rate was classified as either "reassuring" or "nonreassuring". The NICHD workgroup proposed terminology for a three-tiered system to replace the older, undefined terms.<ref name=nic/> *'''Category I (Normal)''': Tracings with all these findings present are strongly predictive of normal fetal acid-base status at the time of observation and the fetus can be followed in a standard manner: **Baseline rate 110β160{{nbsp}}bpm, **Moderate variability, **Absence of late or variable decelerations, **Early decelerations and accelerations may or may not be present. *'''Category II (Indeterminate)''': Tracing is not predictive of abnormal fetal acid-base status. Evaluation and continued surveillance and reevaluations are indicated. **Bradycardia with normal baseline variability **Tachycardia **Minimal or Marked baseline variability of FHR **Accelerations: Absence of induced accelerations after fetal stimulation **Periodic or Episodic decelerations: Longer than 2 minutes but shorter than 10 minutes; recurrent late decelerations with moderate baseline variability **Variable decelerations with other characteristics such as slow return to baseline, overshoots of "shoulders" seen (humps on either side of deceleration) *'''Category III (Abnormal)''': Tracing is predictive of abnormal fetal acid-base status at the time of observation; this requires prompt evaluation and management. **Absence of baseline variability, with recurrent late/variable decelerations or bradycardia; or **[[Sinusoidal]] fetal heart rate.
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