Hospital Corporation of America, Nashville, TN, USA.
Am J Obstet Gynecol. 2013 Aug;209(2):89-97. doi: 10.1016/j.ajog.2013.04.030. Epub 2013 Apr 27.
There is currently no standard national approach to the management of category II fetal heart rate (FHR) patterns, yet such patterns occur in the majority of fetuses in labor. Under such circumstances, it would be difficult to demonstrate the clinical efficacy of FHR monitoring even if this technique had immense intrinsic value, since there has never been a standard hypothesis to test dealing with interpretation and management of these abnormal patterns. We present an algorithm for the management of category II FHR patterns that reflects a synthesis of available evidence and current scientific thought. Use of this algorithm represents one way for the clinician to comply with the standard of care, and may enhance our overall ability to define the benefits of intrapartum FHR monitoring.
目前，针对二类胎心监护图（FHR）模式的管理尚无国家标准，但在分娩过程中，大多数胎儿的 FHR 模式都属于二类。在这种情况下，即使胎心监护技术具有巨大的内在价值，也很难证明其临床疗效，因为从未有过一个标准的假说可以用来检验这些异常模式的解读和处理。我们提出了一种二类 FHR 模式管理的算法，该算法综合了现有证据和当前的科学观点。使用该算法是临床医生遵守护理标准的一种方式，也可能提高我们定义分娩时胎心监护监测益处的整体能力。
