In what situation is continuous detection of FHR necessary?

Continuous detection of fetal heart rate (FHR) is essential in high-risk pregnancies due to the increased likelihood of complications that could affect the health of both the fetus and the mother. In these situations, continuous monitoring allows for real-time assessment of the fetal condition, ensuring timely interventions if any abnormal patterns or signs of distress are detected.

High-risk pregnancies might include factors such as maternal health conditions (like hypertension or diabetes), previous pregnancy complications, advanced maternal age, or multiple gestations. Continuous monitoring enables caregivers to make informed decisions based on ongoing data rather than relying solely on intermittent checks, which may miss important changes in the fetal condition.

In contrast, low-risk deliveries, while still monitored, typically do not require the same level of continuous intervention, and many practitioners may opt for intermittent monitoring in those scenarios. Similarly, after several ultrasounds, unless specific concerns arise, there may not be an immediate need for continuous FHR monitoring. When labor is not progressing, other interventions might be prioritized over FHR monitoring, making it less necessary compared to the needs of high-risk situations.