Cardiotocograph

Normal Suspicious Pathological

Baseline : Absence of Accelerations Absence of Accelerations

110 – 160 bpm + +
Any ONE of the followings Any ONE of the followings
Baseline Variability :
≥ 5 bpm ( ? > 10) Baseline FHR : Baseline FHR :

Accelerations :  100 - 109 bpm  < 100 bpm

Present  160 – 179 bpm  > 180 bpm

Decelerations : Baseline Variability : Baseline Variability :

None
 < 5 bpm ( ? <10)  < 5 bpm for > 90 min
for >40 min but < 90 min

Decelerations : Decelerations :

 Typical Variable  Atypical Variable

Decelerations Decelerations
>50% of contractions ( late, > 60 bpm,
for > 90 min > 60 sec, late
recovery, loss of
variability in trough )

 Single Prolonged  Single Prolonged Dec > 3

Deceleration < 3 min min

 Late Dec >50% of

contractions for ≥ 30
minutes

 Sinusoidal pattern for > 10

min

Absence of Accelerations  Shallow Decelerations with

+ loss of Baseline Variability
More than one of the above (< 5 bpm)
= Pathological

04 April 2013