Normal

Suspicious

Pathological

Baseline

110 - 160 bpm

Lacking at least one characteristic of normality, but with no pathological features

<100 bpm

Variability

5 - 25 bpm

Reduced variability, Increased variability, or sinusoidal pattern

Decelerations

No repetitive*

decelerations

Repetitive, late or prolonged decelerations > 30 min (or 20 min if variability is reduced). Prolonged Deceleration > 5 min

Interpretation

No

hypoxia/acidosis

Low probability of hypoxia/acidosis

High probability of hypoxia/acidosis

Clinical Management

No intervention

necessary

Action to correct reversible causes, close monitoring, or adjunct technologies

Immediate action to correct reversible causes, adjunct technologies or if not possible expedite delivery.

In acute situations, immediate delivery must be accomplished