Fetal Heart Rate Auscultation, 3rd edition

Area of Science:

• Obstetrics
• Maternal-Fetal Medicine
• Evidence-Based Practice

Background:

• Electronic fetal monitoring (EFM) use increased, correlating with higher cesarean birth rates.
• Intermittent auscultation (IA) is an evidence-based alternative for fetal surveillance during labor.
• Clinician familiarity with IA techniques and implementation is often limited.

Purpose of the Study:

• To provide comprehensive information on intermittent auscultation (IA) for fetal surveillance.
• To support the reduction of primary cesarean birth rates.
• To promote the effective implementation of IA into clinical practice.

Main Methods:

• This practice monograph synthesizes current evidence and clinical guidelines.
• It details IA techniques, interpretation, and documentation.
• It addresses practical aspects including decision-making, interventions, communication, education, staffing, and legal considerations.

Main Results:

• IA is a recommended practice for low-risk pregnancies during labor.
• Familiarity and consistent application of IA are crucial for its effectiveness.
• Addressing practical barriers is key to successful IA implementation.

Conclusions:

• IA is a vital component of efforts to reduce cesarean births and promote vaginal delivery.
• Increased clinician knowledge and standardized implementation strategies are necessary for widespread IA adoption.
• This monograph serves as a resource for healthcare providers to enhance IA practice.