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Electronic fetal monitoring: The difficulty of linking patterns with outcomes

OBG Management. 2004 February;16(02):31-38
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Nonreassuring tracings don’t always correlate with adverse outcomes, and vice versa. A look at what we know and don’t know from evidence to date.

General recommendations

In cases of nonreassuring FHR tracings, the options include maternal positioning to achieve uterine displacement; hydration; correction of hypotension, which may be useful when regional anesthetics are used; tocolytic use for treating a uterine contraction; maternal oxygen; amnio-infusion for thick meconium in the presence of a nonreassuring FHR tracing; and assessment and correction of the oxytocin dose when augmentation or induction of labor is occurring.

The authors report no financial relationships relevant to this article.