Interpretation of the International expert consensus statement on physiological interpretation of cardiotocography (CTG): First revision (2024)
10.3760/cma.j.cn113903-20241217-00836
- VernacularTitle:“基于生理学解读产时胎心监护的国际专家共识：第1次修订版”解读
- Author:
Yanju JIA
1
Author Information
1. 天津市中心妇产科医院（南开大学附属妇产医院）产科、天津市人类发育与生殖调控重点实验室，天津 300100
- Publication Type:Journal Article
- Keywords:
Cardiotocography;
Fetal pathophysiology;
Hypoxia;
Classification;
Feature
- From:
Chinese Journal of Perinatal Medicine
2025;28(6):473-478
- CountryChina
- Language:Chinese
-
Abstract:
Intrapartum Cardiotocography (CTG) Fetal Monitoring Guideline, initially published in 2018, introduced a pathophysiology-based approach to CTG analysis, enabling the identification of fetal hypoxia subtypes and assessment of compensatory capacity. With widespread clinical adoption, growing evidence supports the utility and efficacy of this physiology-driven framework, demonstrating improved perinatal outcomes in healthcare systems implementing the guidelines. In October 2024, the expert panel updated the guidelines—termed the International expert consensus statement on physiological interpretation of CTG: First revision (2024)—incorporating findings from recent animal studies and clinical trials. This revision was published in the European Journal of Obstetrics & Gynecology and Reproductive Biology. This article reviews the core principles of physiology-based CTG interpretation and key updates in the revised consensus, aiming to enhance CTG analysis proficiency and clinical decision-making.
