2015 revised FIGO guidelines on intrapartum fetal monitoring
Normal Suspicious Pathological Baseline 110-160 bpm < 100 bpm Reduced variability. Variability 5-25 bpm Lacking at least one Increased variability. characteristic of Sinusoidal pattern. normality, but with no Repetitive* late or pathological features prolonged decelerations No repetitive* Decelerations decelerations for > 30 min (or > 20 min if reduced variability). Deceleration > 5 min Low probability of High probability of Interpretation No hypoxia/acidosis hypoxia/acidosis hypoxia/acidosis Immediate action to correct reversible causes, Action to correct adjunctive methods, or if No intervention reversible causes if Clinical this is not possible necessary to improve identified, close management expedite delivery. In acute fetal oxygenation state monitoring or adjunctive situations immediate methods delivery should be accomplished *Decelerations are repetitive when associated with > 50% contractions. Absence of accelerations in labour is of uncertain significance.