In the past decade fetal heart rate monitoring has become a
generally ac cepted method for fetal surveillance during pregnancy
and labor. Although its importance has been doubted recently, I
personally feel that this method has become an important obstetric
tool. It has not only improved our knowledge about fetal behavior
and fetal condition throughout gesta tion, but it has especially
improved fetal surveillance during labor; the most dangerous period
of human life has never been as safe as nowadays. The only people
who can question the advantage of fetal heart rate moni toring are
those who did not experience the period before fetal heart rate
monitoring was generally introduced. The first paper on the history
of fetal heart rate monitoring takes us back to the beginning of
fetal surveillance and provides an introduction to the different
aspects of fetal observation which are covered later in this
volume. Common practices of fetal surveillance in different
countries are discussed, and the paths that future developments
will take are suggested. An outline of the physiological aspects of
fetal heart rate regulation is fol lowed by discussion of the
pathophysiology with which the obstetrician is very often
confronted."
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