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

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Pathologic fetal arrhythmias require close monitoring to prevent complications such as heart failure and stillbirth.
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Early detection and management of high-risk arrhythmias can lead to a 90-95% live birth rate.
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Ambulatory fetal heart rate monitoring (FHRM) is effective for detecting arrhythmias and is well-accepted by pregnant individuals.
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Challenges in implementing FHRM programs include lack of consensus on monitoring indications and limited insurance coverage.
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A consensus-based guide for ambulatory FHRM aims to standardize practices and improve outcomes for pregnancies at risk of arrhythmias.

Pediatric Cardiology

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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