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

To develop a consensus-based ambulatory fetal heart rate monitoring (FHRM) guide for pregnancies complicated by or at risk of fetal arrhythmias.

Approach:
    Key Findings:
    • 90-95% of fetuses with high-risk arrhythmias can be live-born with early detection and management.
    • Ambulatory FHRM can detect new-onset or recurrent fetal arrhythmias effectively.
    • Current monitoring practices may not be sufficient for early detection of arrhythmias.
    Interpretation:

    Ambulatory FHRM is a promising approach for monitoring high-risk pregnancies, but implementation faces significant barriers.

    Limitations:
    • Lack of documented agreement on indications for ambulatory FHRM.
    • Inconsistent monitoring processes across institutions.
    • Limited FDA approval for devices used by non-medical individuals.
    Conclusion:

    The consensus-based guide aims to standardize ambulatory FHRM practices to improve outcomes in high-risk pregnancies.

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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