In 2008, the American College of Obstetricians and Gynecologists (ACOG), the Society for Maternal-Fetal Medicine (SMFM), and the United States National Institute of Child Health and Human Development (NICHD) convened a workshop to standardize definitions for and interpretation of electronic fetal monitoring (EFM), propose management guidelines ...

FHR tracing in accordance with the patient and other risk factors. Category I FHR tracings are considered to be "normal" and are not typically associated with fetal complications, such as acidemia and can be managed .

Standardization regarding communication of fetal data is one method to promote perinatal patient safety by minimizing risk of errors and avoiding miscommuni-cation amongst members of the perinatal team during labor. This monograph focuses on the NICHD defi ni-tions and classifi cations as a way of sharing informa-tion.

Jan 21, 2013 · Variability refers to predominant baseline FHR pattern (marked, moderate, minimal, absent) during a 30-minute evaluation period, as defined by NICHD.

They provide details of fetal heart rate classification systems used in studies included for the review question about interpretation of cardiotocograph traces.

Category I FHR tracings include all of the following: Baseline FHR: 110-160 bpm

Recommendations have been developed by the American Congress of Obstetricians and Gynecologists (ACOG) for the interpretation and management of fetal heart rate tracing based on the NICHD Three-Tier Fetal Heart Rate Interpretation System

How Did The NICHD Guidelines Start Being Implemented? What is the Problem? 3. The FHR patterns in Category II are heterogeneous in that they reflect varying risks for fetal acidemia. 4. Any clinical setting that uses the NICHD 3-tier system has to grapple with how to manage Category II tracings.

From your clinical experience, do you believe that the NICHD fetal heart rate categories can predict the neonatal outcome? What are the most common features of a category II fetal heart rate tracing? What We Learned....

Feb 1, 2021 · Absence of variability and high frequency and increased depth of decelerations are the key determining factors that make a category II tracing non-reassuring and are associated with fetal metabolic acidosis. Periodic category II tracing is present in the majority of normal laboring patients.