Fetal monitoring in labour: Best practice for diagnosis, monitoring and treatment (clinical recommendation)

Abstract

Worldwide, the problem of adequate diagnosis of intrauterine fetus state is extremely relevant. Postponed hypoxia in labour remains the leading cause of stillbirth, neonatal mortality, as well as early and late neonatal and infant morbidity. Ongoing advances in clinical care, especially in diagnosis and management, require efforts to effectively translate these changes to the wide range of obstetric care providers. This article (guideline) covers methods for monitoring the wellbeing of the baby during labour. It includes risk assessment to determine the appropriate level of fetal monitoring, using clinical assessment in addition to fetal monitoring, and interpreting and acting on monitoring findings. This article is directed at multiple stakeholders, including healthcare providers, healthcare delivery organizations and providers and professional organizations.