Managing Category II Fetal Heart Rate Patterns: An Approach To Standardized Care

Credits: 1

Course Description

When this webinar was originally produced in 2013, obstetrical patient safety leader Steven L. Clark, MD had just designed an algorithm reflecting the synthesis of medical evidence and current scientific thought on interpreting  category II fetal heart rate tracings. Early in 2016, the American Journal of Obstetrics and Gynecology published a study substantiating that this algorithm has resulted in earlier delivery of infants with significant metabolic acidosis. 

In his webinar, Dr. Clark explains and demonstrates the algorithm.  Through examples of challenging fetal strips you will learn how to use this simple tool to make your best decisions and achieve compliance with the standard of care in managing these difficult deliveries.  


Learning Objectives

Obstetrical practitioners who complete this webinar will be able to:

  • Discuss the benefits of standardized interpretation of terminology and protocols for management of category II fetal heart rate patterns.
  • Review and discuss the algorithm for the management of category II fetal heart rate tracings.
  • Apply the algorithm to Category II tracings.


Faculty Information
Steven L. Clark, M.D. is a maternal-fetal medicine specialist and is professor of Obstetrics and Gynecology at Baylor College of Medicine in Houston. He was formerly Medical Director of Women’s and Children’s Clinical Services for the Hospital Corporation of America. He has served as president of the Society for Maternal Fetal Medicine, Chair of the ACOG Technical Bulletin Committee and as a board examiner. He has served on several ACOG task forces and committees and as patient safety consultant to the U.S. Air Force Surgeon General. He currently serves on the Scientific Advisory Board for United Health Care, and on the Joint Commission Perinatal Advisory Panel. He has published over 200 scientific articles and chapters, and edited several textbooks, including Critical Care Obstetrics. He serves as a peer reviewer for 23 national and international scientific journals.


Planning Group
Mary K. Ausenhus, RN, MSN, WHCNP-BC, Clinical Nurse Manager - Women's Services, EvergreenHealth, Kirkland 
Angela Chien, MD, Obstetrics and Gynecology, EvergreenHealth, Kirkland
Becky Fahey, RN, MPA:HA, CPHRM, Senior Healthcare Risk Management Consultant, Physicians Insurance, Portland
Peggy Hamernik, CME Specialist, EvergreenHealth, Kirkland
Kym Shepherd, Director of Complex Litigation, Physicians Insurance, Seattle
Celia Smith, CHCP, Director, Continuing Medical Education, Physicians Insurance, Seattle
Jeanna Taylor, BSN, RN, Clinical Nurse Educator, EvergreenHealth Women’s Services
Cryss. Toycen, CME Specialist, Physicians Insurance, Seattle
Neil Vasquez-Solis, Risk Management Education Assistant, Physicians Insurance, Seattle

Original release: September 2013
Last reviewed: September 2016
Expiration: September 2017

CME Requirements
Category 1 credit is applicable throughout the United States.
Physicians in Washington who complete this course will fulfill the risk management education requirement mandated by the Washington Health Services Act of 1993.

Physicians Insurance/Experix is accredited by the Washington State Medical Association to provide continuing medical education for physicians.

Physicians Insurance/Experix designates this enduring material for a maximum of 1 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 1 hour of Category I CME to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

All faculty, planning and peer-review group members have certified that neither they nor their spouses/partners have, nor have had within the health care goods or services consumed by or used on patients, with the exemption of non-profit or government organizations and non-health care related companies.

Resolution of Conflicts of Interest
Physicians Insurance/Experix has implemented a process to resolve conflicts of interest for each continuing medical education activity, to help ensure content objectivity, independence, fair balance, and content that is aligned with the interest of the public. Conflicts, if any, are resolved through a peer-review process.

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