Ambulatory Fetal Heart Rate and Rhythm Monitoring for Pregnancies at Risk for Fetal Arrhythmias: Perspectives from the Fetal Heart Society - Scorecard - MDSpire

Ambulatory Fetal Heart Rate and Rhythm Monitoring for Pregnancies at Risk for Fetal Arrhythmias: Perspectives from the Fetal Heart Society

  • By

  • Stacy A. S. Killen

  • Sheetal Patel

  • Nitin Madan

  • Maria Kiaffas

  • Shardha Srinivasan

  • Jacqueline Shuplock

  • Joyce Johnson

  • Whitnee Hogan

  • Miwa Geiger

  • Lisa Hornberger

  • Anita Moon-Grady

  • Bettina Cuneo

  • May 27, 2026

  • 0 min

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Clinical Scorecard: Monitoring Fetal Heart Rate and Rhythm in High-Risk Pregnancies for Arrhythmias: Insights from the Fetal Heart Society

At a Glance

CategoryDetail
Condition
Key MechanismsIncludes tachycardias (e.g., SVT, VT), bradycardias, and irregular rhythms requiring close surveillance.
Target Population
Care Setting

Key Highlights

  • 90-95% of fetuses with high-risk arrhythmias can be live-born with early detection and management.
  • Ambulatory fetal heart rate monitoring (FHRM) is a feasible method for detecting arrhythmias.
  • FHRM can empower pregnant individuals and does not increase stress levels.
  • FHRM devices are not currently FDA approved for use by individuals without medical training.

Guideline-Based Recommendations

Diagnosis

    Management

    • FHRM frequency is determined by the fetal care provider in shared decision-making with the pregnant individual.

    Monitoring & Follow-up

      Risks

        Patient & Prescribing Data

        FHRM devices can be loaned or purchased, with education provided on their use. Note potential costs and insurance coverage issues.

        Clinical Best Practices

        • Educate pregnant individuals on FHRM usage and monitoring frequency.
        • Encourage tracking of FHR trends and communication with providers regarding concerns, emphasizing timely communication.

        Related Resources & Content

        Original Source(s)

        Ambulatory Fetal Heart Rate and Rhythm Monitoring for Pregnancies at Risk for Fetal Arrhythmias: Perspectives from the Fetal Heart Society

        • by Stacy A. S. Killen, Sheetal Patel, Nitin Madan, Maria Kiaffas, Shardha Srinivasan, Jacqueline Shuplock, Joyce Johnson, Whitnee Hogan, Miwa Geiger, Lisa Hornberger, Anita Moon-Grady, Bettina Cuneo

        • May 27, 2026

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