1. Screening tool to assess the fetal state of oxygenation and predicts early signs of hypoxia and fetal distress.

2. Stimulus: Contractions/ fetal movements Baseline fetal heart rate Baseline variability Accelerations Decelerations

4.  baseline heart rate

5.  Baseline variability  Classification:  Silent 0-5 bpm  Reduced 6-10 bpm  Normal 11-25 bpm  Saltatory >25 bpm

6.  accelerations

7.  Deceler ations:

8. Decelerations Types:

9. Basal fetal oxygenation. The relationship of late decelerations to baseline fetal oxygenation during contractions

10. Contraction Stress Test

11. Signature + Date & Time

12. DEFINEDEFINE RISKRISK CONTRACTIONSCONTRACTIONS BASELINEBASELINE RATERATE VARIABILITYVARIABILITY ACCELERAT’NACCELERAT’N DECELERAT’NDECELERAT’N OVER ALL ASSESS MENT

13. Baseline Rate 110-150 bpm Amplitude of baseline variability 5/10-25 bpm Absence of decelerations, except for fleeting& short Presence of 2 or more accelerations during a 20 min period

14. Baseline rate of 150-170 bpm/ 100-110 bpm Amplitude of variability bn 5-10 bpm > 40 min Increased variability above 25 bpm {saltatory} Absence of accelerations for > 40 min Sporadic decelerations of any type, unless severe

15. Baseline heart rate 170 bpm Variability 40 min Recurrent decelerations of any type Severe variable or late decelerations A sinusoidal pattern Any of the following: