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Medical News & Perspectives
September 2, 2009

Group Issues Revised Guideline for Fetal Heart Rate Monitoring During Labor

JAMA. 2009;302(9):935-936. doi:10.1001/jama.2009.1185

A revised guideline on monitoring fetal heart rate during labor from the American College of Obstetricians and Gynecologists (ACOG) seeks to decrease perinatal morbidity and mortality by improving communication among members of the health care delivery team.

The updated guideline also highlights the uncertain efficacy of electronic fetal monitoring and limitations such as a high false-positive rate for predicting cerebral palsy and poor consistency among physicians in interpreting fetal heart rate tracings (Obstet Gynecol. 2009;114[1]:192-202).