Intrapartum fetal surveillance. Fetal fitness for labour and types of fetal hypoxia. Part III

Abstract

This article examines fetal hypoxia during labour and the antenatal period, focusing on its underlying physiological mechanisms, clinical features, and management strategies for its various types: gradually evolving, acute, subacute, and chronic hypoxia. The article underscores advancements in cardiotocography (CTG) interpretation, emphasizing the importance of physiological analysis, and offers evidence-based guidance on interventions such as intrauterine resuscitation and appropriately timed intervention. Practical tools like the “Fit-for-Labour” assessment are introduced to support clinical decision-making and improve maternal and fetal outcomes.