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FIGO cardiotocography classification criteria, interpretation, and recommended management*

FIGO cardiotocography classification criteria, interpretation, and recommended management*
  Normal Suspicious Pathological
Baseline 110 to 160 bpm Lacking at least one characteristic of normality, but with no pathological features <100 bpm
Variability 5 to 25 bpm Lacking at least one characteristic of normality, but with no pathological features Reduced variability, increased variability, or sinusoidal pattern
Decelerations No repetitive decelerations Lacking at least one characteristic of normality, but with no pathological features Repetitive late or prolonged decelerations during >30 minutes or 20 minutes if reduced variability, or one prolonged deceleration with >5 minutes
Interpretation Fetus with no hypoxia/acidosis Fetus with a low probability of having hypoxia/acidosis Fetus with a high probability of having hypoxia/acidosis
Clinical management No intervention necessary to improve fetal oxygenation state Action to correct reversible causes if identified, close monitoring or additional methods to evaluate fetal oxygenation[1]

Immediate action to correct reversible causes, additional methods to evaluate fetal oxygenation[1], or if this is not possible expedite delivery

In acute situations (cord prolapse, uterine rupture, or placental abruption) immediate delivery should be accomplished
FIGO: International Federation of Gynaecology and Obstetrics; bpm: beats per minute.
* The presence of accelerations denotes a fetus that does not have hypoxia/acidosis, but their absence during labor is of uncertain significance.
¶ Decelerations are repetitive in nature when they are associated with more than 50% of uterine contractions[2].
References:
  1. Visser GH, Ayres-de-Campos D, FIGO Intrapartum Fetal Monitoring Expert Consensus Panel. FIGO consensus guidelines on intrapartum fetal monitoring: Adjunctive technologies. Int J Gynaecol Obstet 2015; 131:25.
  2. Cahill AG, Roehl KA, Odibo AO, Macones GA. Association and prediction of neonatal academia. Am J Obstet Gynecol 2012; 207:206.
From: Ayres-de-Campos D, Spong CY, Candaharan E. FIGO consensus guidelines on intrapartum fetal monitoring: Cardiotocography. Int J Gynaecol Obstet 2015; 131(1):13-24. https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1016/j.ijgo.2015.06.020. Copyright © 2015 International Federation of Gynecology and Obstetrics. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (http://onlinelibrary.wiley.com).
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