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Table 1 Classification of cardiotocograms according to the modified International Federation of Gynecology and Obstetrics criteria

From: Intrauterine resuscitation during the second stage of term labour by maternal hyperoxygenation versus conventional care: study protocol for a randomised controlled trial (INTEREST O2)

 

Baseline heart frequency

Variability

Reactivity

Decelerations

Normal CTG

• 110–150 bpm

• Accelerations

• 5–25 bpm

• Early uniform decelerations

• Uncomplicated variable decelerations (loss of < 60 beats)

Intermediary CTG

• 100–110 bpm

• 150–170 bpm

• Short bradycardia episode

< 100 bpm for > 3 minutes

< 80 bpm for > 2 minutes

• > 25 bpm (saltatory pattern)

• < 5 bpm > 40 minutes

• Uncomplicated variable decelerations (loss of > 60 beats)

 

• A combination of two or several intermediary observations will result in an abnormal CTG

Abnormal CTG

• > 170 bpm

• Persistent bradycardia

< 100 bpm for > 10 minutes

< 80 bpm for > 3 minutes (without an increasing tendency)

• < 5 bpm for > 60 minutes

• Sinusoidal pattern

• Complicated variable decelerations with a duration of > 60 seconds

• Repeated late uniform decelerations

Pre-terminal CTG

• Total lack of variability (< 2 bpm) and reactivity with or without decelerations or bradycardia

  1. bpm Beats per minute, CTG Cardiotocogram