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Intrapartum fetal hypoxia, the current state of intrapartum fetal well-being assessment

Czech version

Authors: L. Hruban 1,2,3;  L. Kostka 1,2;  A. Jouzová 1,2;  Z. Mikulenková 1,2
Authors‘ workplace: Gynekologicko-porodnická klinika, Fakultní nemocnice Brno, Brno 1;  Lékařská fakulta, Masarykova univerzita, Brno 2;  Ústav zdravotních věd, Lékařská fakulta, Masarykova univerzita, Brno 3
Published in: Čes-slov Neonat 2025; 31 (1): 25-32.
Category: Reviews

Overview

Intrapartum fetal hypoxia, the current state of intrapartum fetal well-being assessment

The revised classification of intrapartum cardiotocography assessment, introduced in 2015, represents a significant advancement in accurately determining the underlying causes of changes observed in cardiotocography recordings. A purely descriptive analysis of cardiotocography patterns, without consideration of the broader clinical context, does not achieve the intended objective. Namely, the identification of fetuses that could benefit from timely intervention. Fetal compromise is not always solely attributable to intrapartum hypoxia; non-hypoxic etiologies and pre-existing fetal pathology (prepartal insult) must also be taken into account, as they may result in significantly worse perinatal outcomes than anticipated based on available clinical data.

Keywords:

fetal hypoxia – metabolic acidosis – cardiotocography

Sources
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Labels
Neonatology Neonatal Nurse
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Czech and Slovak Neonatology

2025 Issue 1
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