Abstract:

Abstract:Electronic fetal heart rate monitoring (EFM) has become the most widely used means of fetal monitoring currently in clinical obstetrics because of its many advantages over other methods such as simple，non-invasive and real-time. However，controversies still exist in relation to the definition and interpretation of the EFM graphics and no consensus has been reached in clinical decisions based on the results of monitoring. This article describes the latest standardized，simplified approach to the definition，interpretation，and management of electronic fetal heart rate monitoring.

Key words: electronic fetal heart rate monitoring , the second stage of labor, standardization, clinical decisions 

摘要：

电子胎心监护由于操作简便、无创、结果实时确切，已成为产科临床应用最广泛的胎儿监护手段。但目前在对电子胎心监护图形的解读上尚存在许多争议,如何根据监护结果做出正确的临床决策也未达成一致意见。文章介绍了最新的电子胎心监护图形标准化定义，解读其原理及标准化的处理方法。

关键词: 胎心监护, 第二产程, 标准化, 临床决策