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Re: Non-reassuring tracing terminology commentFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed Apr 22 12:35:10 2009
At Wed, 22 Apr 2009, Andrew Folley wrote: > >I may be mistaken, but I believe the terminology is changing. We moved form "fetal distress" to non-reassuring tracing several years ago. I think recently however we have stopped using "non reassuring tracing" for patients in labor. The proper terminology is to call the tracing "Category I (Reassuring) Cat II (non reassuring) Cat III (get the baby delivered asap)." Cat II you can take some steps to resuscitate etc. Cat III (ie lates and no variability suggesting acidosis) requires immediate delivery. This sounds as if it would be a category III. Correct, in Canada the new SOGC terminolgy, is normal, atyical, abnormal. this case had no real normal area for more than 10 minutes, it was mostly atypical, there there where several place of at least 3 lates subtle in the context of poor variablity which would be considered abnormal or Category three, in days gone by if this was a contraction stress test the baby would of failed or a positive test.
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Take care, John
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