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Interventions for Intrapartum Fetal Heart Rate Abnormalities

Alexandra G Eller1

  • 1Women and Newborns, Intermountain Healthcare, Department of OBGYN, University of Utah, Salt Lake City, Utah.

Clinical Obstetrics and Gynecology
|August 1, 2020
PubMed

Intrapartum fetal heart rate (FHR) decelerations may represent interrupted oxygen transfer to the fetus. In many cases, these interruptions are transient and do not result in progressive fetal acidemia with risk for asphyxia and neurological compromise. When significant FHR decelerations are present, reversible causes of reduced fetal oxygen delivery should be considered and corrective measures should be undertaken to optimize oxygenation. In this review, we describe potential intrapartum causes of reduced fetal oxygen delivery and the efficacy of common interventions for an abnormal FHR tracing.

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