Healthcare providers should check fetal heart rate Pattern (FHR) using a Doppler device or a stethoscope. Monitoring FHR is essential in assessing fetal well-being and detecting potential distress.
A normal FHR ranges between 110 and 160 beats per minute [1]. However, changes in FHR patterns can provide critical insights into fetal status. To recognize these changes, providers can use the VEAL-CHOP-MINE acronym, which links different deceleration types to their causes. Early decelerations often result from fetal head compression and do not indicate distress. In contrast, late or variable decelerations may signal fetal compromise, especially if they occur frequently. Fetal accelerations generally suggest a reassuring fetal status [1].
When evaluating Fetal Heart Rate Pattern (FHR), it is crucial to rely on evidence-based interventions. A recent study examined intrapartum oxygen supplementation and found that it did not resolve category II fetal heart rate tracings [2]. Based on this research, routine oxygen supplementation should not be used for fetal intrauterine resuscitation in patients with normal oxygen saturation. Instead, providers should focus on preparing for delivery and addressing any underlying causes of fetal distress.
To ensure the best outcomes, clinicians must follow facility guidelines, policies, and procedures. By staying informed and applying current best practices, healthcare providers can improve fetal monitoring and intervention strategies.
- Curran, Anna. March 14, 2022. Retrieved from VEAL CHOP Nursing – NurseStudy.Net on July 14, 2024.
- Raghuraman N, López JD, Carter EB, Stout MJ, Macones GA, Tuuli MG, et al. 2020. The effect of intrapartum oxygen supplementation on category II fetal monitoring. Am J Obstet Gynecol 2020;223:905.e1-7. doi: 10.1016/j.ajog.2020.06.037
Disclaimer: Please follow your facilities guidelines, policies, and procedures.
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