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The algorithms provide pathways for definition, assessment, diagnosis, interventions to correct the abnormalities and ongoing monitoring leading to mode of birth, and linking to other algorithms in the series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The algorithms provide a framework for monitoring and managing fetal heart rate bradycardia, late decelerations and tachycardia during labour. We emphasise the inherent diagnostic inaccuracy of fetal heart rate monitoring, the tendency to over\u2010diagnose fetal compromise, the need to consider fetal heart rate information in the context of other clinical features and the need to engage in informed, shared, family\u2010centred decision\u2010making. We note the need for further research on methods of fetal assessment during labour including clinical fetal arousal testing and the rapid biophysical profile test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Decision analysis algorithms for fetal bradycardia, late decelerations and tachycardia highlight diagnostic limitations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16731","type":"journal-article","created":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T03:59:57Z","timestamp":1649822397000},"page":"102-111","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical algorithms for management of fetal heart rate abnormalities during labour"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1207-6494","authenticated-orcid":false,"given":"KW","family":"Cheung","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Queen Mary Hospital The University of Hong Kong  Hong Kong City Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9015-1635","authenticated-orcid":false,"given":"M","family":"Bonet","sequence":"additional","affiliation":[{"name":"UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KA","family":"Frank","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of the Witwatersrand  Johannesburg South Africa"},{"name":"University of Kwa\u2010Zulu Natal  Pietermaritzburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OT","family":"Oladapo","sequence":"additional","affiliation":[{"name":"UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3080-1007","authenticated-orcid":false,"given":"GJ","family":"Hofmeyr","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Botswana  Gaborone Botswana"},{"name":"Effective Care Research Unit University of the Witwatersrand and Water Sisulu University  Mthatha South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the WHO Intrapartum Care Algorithms Working Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31930-5"},{"volume-title":"WHO Recommendations: intrapartum Care for a Positive Childbirth Experience","year":"2018","author":"World Health Organization","key":"e_1_2_6_3_1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13014"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0219573"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr2877e"},{"key":"e_1_2_6_7_1","article-title":"Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour","volume":"2","author":"Alfirevic Z","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10916-012-9913-4"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000116.pub5"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.1218"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004075.pub4"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(99)00081-0"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001338.pub3"},{"key":"e_1_2_6_14_1","first-page":"431","article-title":"Meconium during labour\u2013self\u2010medication and other associations","volume":"71","author":"Mitri F","year":"1987","journal-title":"S Afr Med J"},{"key":"e_1_2_6_15_1","first-page":"1008","article-title":"The effect of traditional herbal medicines on pregnancy outcome. 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