Fetal Heart Rate 5-tier 2.0

OB Apps LLC – Commercial – iOS
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This application is designed for obstetricians, midwives, and nurses who utilize electronic fetal monitoring (EFM) during labor. Professionals are responsible for interpreting fetal heart rate (FHR) tracings, facilitating clear communication among team members, and determining appropriate courses of action.
The FHR 5-tier system is based on a five-color classification devised by Drs. Julian Parer and Tomoaki Ikeda to standardize the evaluation of diverse fetal heart rate patterns. The colors Green, Blue, Yellow, Orange, and Red categorize tracings based on acidemia risk, evolution severity, and recommended interventions.
Some experts advocate for the FHR 5-tier system over the NICHD three-tier model due to its perceived effectiveness in classifying EFM tracings accurately. This approach is increasingly embraced by medical facilities in the U.S. and Japan.
The FHR 5-tier app streamlines the use of the color-coded system by eliminating the need to consult extensive tables or definitions for deceleration types.
Users can input variability, baseline, and deceleration characteristics through the app interface, which then calculates deceleration severity and color codes the results for quick reference and communication.
Management recommendations provided by Parer and Ikeda regarding staff involvement, patient positioning, and conservative interventions are incorporated into the app. The guidance acknowledges the need for potential modifications based on institutional requirements or time-specific considerations.
In addition to practical management advice, the NICHD Category (I, II, III) classification is displayed on the results screen to offer a comprehensive overview of each tracing's status.
It is important to note that while this application serves as a useful reference tool for healthcare professionals, it should not replace individual clinical judgment. All medical decisions should be made based on professional expertise in conjunction with information from this app.
The app aims to compile information from reputable sources without altering or overriding expert opinions. Users are encouraged to report any identified errors via the provided contact information on the official website.

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