产时Ⅱ类胎心监护的流程管理

Intrapartum management of category Ⅱ fetal heart rate tracings

Ⅱ类胎心监护是产程中常见的胎心监护图形,其形式多样,正确识别和评估Ⅱ类胎心监护,并根据具体临床情况进行针对性干预,可降低不良妊娠结局的发生。文章根据产时胎心监护三级评估系统,介绍产时Ⅱ类胎心监护的处理流程,并对不同类型Ⅱ类胎心监护的病因及干预措施进行了阐述,以指导临床实践。

The categoryⅡfetal heart rate(FHR)tracings,which have various forms,are the common patterns of electronic fetal monitoring(EFM)during labor.The correct identification and assessment of categoryⅡFHR tracings,as well as the targeted intervention according to specific clinical conditions,can reduce the occurrence of adverse pregnancy outcomes.This article introduces the intrapartum management process of categoryⅡFHR tracings according to the three-tier system for the categorization of intrapartum EFM,and expounds the causes and intervention measures of different types of categoryⅡFHR tracings,so as to guide clinical practice.