fetal heart rate monitoring
Continuous or intermittent assessment of fetal cardiac activity during pregnancy or labor to evaluate fetal well-being.
Full Definition
The process of monitoring fetal cardiac activity using external Doppler ultrasound, internal scalp electrode, or handheld Doppler devices to assess fetal oxygenation and well-being. Monitoring may be continuous during labor or intermittent during routine prenatal visits. Interpretation involves assessing baseline rate (normal 110-160 bpm), variability, accelerations, and decelerations in relation to uterine contractions. Abnormal patterns may indicate fetal hypoxia and require intervention ranging from maternal position changes to expedited delivery. Documentation requires specific terminology and systematic interpretation of tracings.
Usage
Usage note: Use standardized terminology for pattern interpretation and interventions.
In Context
- "Continuous fetal heart rate monitoring showed reassuring patterns throughout labor." — Labor progress note
- "Nonreassuring fetal heart rate patterns prompted immediate physician evaluation." — Nursing assessment documentation