基于胎儿生理的产时电子胎心监护评估新理念OA

Electronic fetal monitoring(EFM)reflects real-time changes in fetal heart rate and serves as an important tool for assessing the intrauterine condition of the fetus.In-trapartum EFM performed against a background of frequent uterine contractions differs from antepartum EFM in terms of interpretive priorities and has significant implications for intrapartum decision-making.Emerging evidence suggests that baseline stability and variability of fetal heart rate cor-relate with pregnancy outcomes,warranting increased at-tention in the interpretation of intrapartum EFM.In recent years,with the continuous updates on international guide-lines for intrapartum EFM,the interpretation of intrapartum EFM is shifting from pattern recognition toward pathophysi-ological mechanism analysis.Individualized interpretation of EFM and assessment of intrauterine fetal condition should be achieved based on EFM characteristics,maternal risk factors,comorbidities,and labor progress,identifying the type of fetal hypoxia and fetal compensatory and decom-pensatory status and implementing targeted management.This approach of interpretation contributes to improving perinatal outcomes and ensuring maternal and fetal safety.