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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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Current evidence does not demonstrate a definitive advantage of continuous fetal monitoring over intermittent auscultation. Therefore, either approach is acceptable for uncomplicated patients. The ACOG recommends continuous FHR monitoring for high-risk patients, such as those with known intrauterine growth restriction or preeclampsia. When using continuous FHR monitoring during labor, healthcare providers should periodically review and document the tracings. In uncomplicated patients with Category I FHR tracings, reviews should occur every 30 minutes during the first stage of labor and every 15 minutes during the second stage. Documentation should include a description of the FHR category and the overall pattern of the FHR. Management changes may occur in response to the development of Category II or Category III characteristics.[2]