ACOG Clinical Practice Guideline No. 10:Intrapartum Fetal Heart Rate Monitoring: Interpretation and Management.

IF 4.7 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Obstetrics and gynecology Pub Date : 2025-10-01 DOI:10.1097/aog.0000000000006049

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引用次数: 0

Abstract

PURPOSE The purpose of this document is to provide an evidence-based framework for the evaluation and management of intrapartum fetal heart rate (FHR) patterns. TARGET POPULATION Pregnant individuals in the first or second stage of labor. METHODS This guideline was developed using an a priori protocol in conjunction with a writing team consisting of three maternal-fetal medicine subspecialists and one specialist in obstetrics and gynecology appointed by the American College of Obstetricians & Gynecologists' (ACOG) Committee on Clinical Practice Guidelines-Obstetrics. ACOG medical librarians completed a comprehensive literature search for primary literature within Cochrane Library, Cochrane Collaboration Registry of Controlled Trials, EMBASE, PubMed, and MEDLINE. Studies that moved forward to the full-text screening stage were assessed by the writing team based on standardized inclusion and exclusion criteria. Included studies underwent quality assessment, and a modified GRADE (Grading of Recommendations Assessment, Development and Evaluation) evidence-to-decision framework was applied to interpret and translate the evidence into recommendation statements. RECOMMENDATIONS This Clinical Practice Guideline includes an overview of intrapartum FHR monitoring nomenclature and classification systems and provides recommendations for evaluation and management of intrapartum FHR tracings. Recommendations are classified by strength and evidence quality.

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ACOG临床实践指南第10号：产时胎儿心率监测：解释和管理。

目的本文旨在为产时胎儿心率（FHR）模式的评估和管理提供一个循证框架。目标人群：处于第一或第二产程的孕妇。方法：本指南是由美国妇产科学会（ACOG）产科临床实践指南委员会任命的三名母胎医学专科医生和一名妇产科专家组成的编写小组根据先验方案制定的。ACOG医学图书馆员在Cochrane图书馆、Cochrane对照试验合作注册表、EMBASE、PubMed和MEDLINE中完成了对主要文献的全面文献检索。进入全文筛选阶段的研究由撰写团队根据标准化的纳入和排除标准进行评估。纳入的研究进行了质量评估，并采用改良的GRADE（建议评估、发展和评价分级）证据到决策框架来解释证据并将其转化为建议声明。本临床实践指南概述了产时FHR监测的命名和分类系统，并为产时FHR追踪的评估和管理提供了建议。建议根据强度和证据质量进行分类。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and gynecology 医学-妇产科学

CiteScore

11.10

自引率

4.20%

发文量

867

审稿时长

1 months

期刊介绍： "Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics. "Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.