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CTG Classification and Interpretation Guidelines

The document outlines the 2015 revised FIGO guidelines for classifying intrapartum fetal heart rate monitoring patterns as normal, suspicious, or pathological. A normal pattern has a baseline heart rate of 110-160 bpm and variability of 5-25 bpm with no repetitive late or prolonged decelerations. A suspicious pattern lacks characteristics of normality but has no pathological features. A pathological pattern has increased or reduced variability, a sinusoidal pattern, or repetitive late or prolonged decelerations of over 30 minutes, indicating a high probability of hypoxia or acidosis and requiring immediate action to correct causes or expedite delivery.

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208 views1 page

CTG Classification and Interpretation Guidelines

The document outlines the 2015 revised FIGO guidelines for classifying intrapartum fetal heart rate monitoring patterns as normal, suspicious, or pathological. A normal pattern has a baseline heart rate of 110-160 bpm and variability of 5-25 bpm with no repetitive late or prolonged decelerations. A suspicious pattern lacks characteristics of normality but has no pathological features. A pathological pattern has increased or reduced variability, a sinusoidal pattern, or repetitive late or prolonged decelerations of over 30 minutes, indicating a high probability of hypoxia or acidosis and requiring immediate action to correct causes or expedite delivery.

Uploaded by

tomeytto
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CTG classification

2015 revised FIGO guidelines on intrapartum fetal monitoring


Normal Suspicious Pathological
Baseline 110-160 bpm < 100 bpm
Reduced variability.
Variability 5-25 bpm Lacking at least one Increased variability.
characteristic of Sinusoidal pattern.
normality, but with no Repetitive* late or
pathological features prolonged decelerations
No repetitive*
Decelerations decelerations
for > 30 min (or > 20 min if
reduced variability).
Deceleration > 5 min
Low probability of High probability of
Interpretation No hypoxia/acidosis
hypoxia/acidosis hypoxia/acidosis
Immediate action to
correct reversible causes,
Action to correct
adjunctive methods, or if
No intervention reversible causes if
Clinical this is not possible
necessary to improve identified, close
management expedite delivery. In acute
fetal oxygenation state monitoring or adjunctive
situations immediate
methods
delivery should be
accomplished
*Decelerations are repetitive when associated with > 50% contractions.
Absence of accelerations in labour is of uncertain significance.

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