Category II Management Algorithm
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Adapted from
Intrapartum management of category II fetal heart rate tracings: towards standardization of care.
Clark SL, Nageotte MP, Garite TJ, Freeman RK, Miller DA, Simpson KR, Belfort MA, Dildy GA, Parer JT, Berkowitz RL, D'Alton M, Rouse DJ, Gilstrap LC, Vintzileos AM, van Dorsten JP, Boehm FH, Miller LA, Hankins GD. Am J Obstet Gynecol. 2013 Aug;209(2):89-97.
ncbi.nlm.nih.gov/pubmed/23628263Labor Status
Phase:
Active Phase
Stage:
Normal progress?
Tracing Status
Moderate variability or accelerations?
Recurrent significant decelerations?
Has the lack of moderate variability or accelerations persisted for more than 1hr?
Outcome
Algorithm may be overridden at any time if, after evaluation of patient, physician believes it is in the best interest of the fetus to intervene sooner.
Show me the algorithm pathway
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