Intrapartum assessment of fetal well-being has evolved over the last 40 years, with the primary focus being fetal heart rate assessments. Despite widespread use and initial enthusiasm for the potential for heart rate monitoring to reduce fetal and neonatal mortality and morbidity, conclusive evidence of improvement in long-term outcomes is lacking. Its use is associated with an increase in operative obstetric interventions and may increase morbidity associated with such interventions. Current investigation includes fetal pulse oximetry and further analysis of specific fetal electrocardiographic changes associated with hypoxic stress. Currently, it is likely that fetal heart rate monitoring will maintain its role as a common intervention in obstetric units.
|Number of pages||10|
|Journal||Obstetrics and Gynecology Clinics of North America|
|Publication status||Published - Jun 2005|
All Science Journal Classification (ASJC) codes
- Obstetrics and Gynecology