In the 1960s, continuous electronic fetal monitoring was introduced as a way to better capture and document the fetal response to labor and uterine contraction pattern. Since then, it has become a fully integrated component of intrapartum care despite its limited ability to prevent neonatal long term neurological complications and fetal death. We have covered intrapartum fetal heart rate patterns several times on this show, and this episode now VALIDATES those prior episodes. In this episode, we will summarize THREE key points from the October 2025 upcoming ACOG CPG #10 on “Intrapartum Fetal Heart Rate Monitoring: Interpretation and Management”. Is there a place for intermittent fetal auscultation intrapartum? What about maternal O2 for fetal resuscitation? Are we ready for “AI fetal heart racing interpretations”? Listen in for details.

1. ACOG CPG 10: Intrapartum Fetal Heart Rate Monitoring: Interpretation and Management (Oct 2025)

2. ACOG PB 205: Vaginal Birth After Cesarean Delivery

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