Original Publication
Open Access

Assessment and Management of Intrapartum Fetal Monitoring

Published: September 10, 2012 | 10.15766/mep_2374-8265.9234

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  • Instructors Guide.docx
  • Lecture Material.swf

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This training session involves a didactic session and hands-on training sessions in the evaluation and management of intrapartum fetal heart rate patterns on a high-fidelity mannequin. The most common prelude to most obstetric emergencies is fetal intolerance of labor, typically demonstrated by changes in the fetal heart rate. For a newly starting OB-GYN resident this can be among the most stressful early experiences on the labor and delivery ward. Proper interpretation and management of the fetal heart rate tracing (FHT) is a critical skill for the obstetric provider that is traditionally acquired through exposure to static images of FHTs and hands-on clinical experience on the labor and delivery ward. The advent of high-fidelity simulators, in particular the Noelle pregnant mannequin, allows for the lifelike simulation of intrapartum fetal heart rate patterns of multiple etiologies. This didactic curriculum uniformly educates obstetric providers in the evaluation and management of intrapartum fetal heart rate patterns and the Noelle high-fidelity pregnancy and delivery simulator, which will allow those providers to do this in a realistic fashion and setting.

Educational Objectives

By the end of this resource, learners will be able to:

  1. Experience a scenario involving the management of a category II or III fetal heart rate tracing.
  2. Practice teamwork and interprofessional communication.
  3. Self-assess technical and communication skills.
  4. Understand documentation of events.
  5. Understand disclosure of errors.

Author Information

  • Michael Fialkow: University of Washington School of Medicine
  • Thomas Benedetti: University of Washington
  • Leslie Carranza: University of Washington
  • Lucas McIntyre: University of Washington
  • Katherine O'Connell: University of Washington

None to report.

None to report.


Fialkow M, Benedetti T, Carranza L, McIntyre L, O'Connell K. Assessment and management of intrapartum fetal monitoring. MedEdPORTAL. 2012;8:9234. https://doi.org/10.15766/mep_2374-8265.9234