EFM Case Study #10: FHR Category II, Part 3: Management

Course overview

The most frequent OB malpractice allegation, delay in the treatment of fetal distress, involves interpretation and management errors of fetal heart rate patterns (FHR). FHR patterns are divided into 3 categories based on risk of fetal acidemia by criteria outlined in the NICHD 3-Tier FHR Interpretation System. Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This activity is the final part of a three-part series that compares the current ACOG guidelines to the scientific research regarding new approaches to Category II FHR patterns. Risk management solutions, EFM case studies and critical thinking drills are included to improve clinical decision making and reduce claims in this challenging population.