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Table 2 Five-tier classification of fetal heart rate deceleration

From: Placental growth factor level is correlated with intrapartum fetal heart rate findings

Fetal heart rate variability

Five-tier classification

No

ED

Mild

VD

Severe

VD

Mild

LD

Severe

LD

Mild

PD

Severe

PD

Moderate variability

 Normal baseline

1

2

2

3

3

3

3

4

 Tachycardia

2

2

3

3

3

4

3

4

 Bradycardia ≥ 80 bpm

3

3

3

4

3

4

4

4

 Bradycardia < 80 bpm

4

4

-

4

4

4

-

-

Minimal variability

 Normal baseline

2

3

3

4

3

4

4

5

 Normal baseline

3

3

4

4

4

5

4

5

 Bradycardia ≥ 80 bpm

4

4

5

5

5

5

5

5

 Bradycardia < 80 bpm

5

5

-

5

5

5

-

-

Absent variability

4

5

5

5

5

5

5

5

Marked variability

2

2

3

3

3

4

3

4

Sinusoidal

4

4

4

4

5

5

5

5

  1. ED Early deceleration, LD Late deceleration, PD Prolonged deceleration, VD Variable deceleration
  2. Deceleration was classified as mild or severe, with severe defined as follows and everything else mild: severe VD, the lowest point of transient bradycardia was < 70 bpm and lasted for ≥ 30 s, or the lowest point was ≥ 70 bpm and < 80 bpm, and lasted for ≥ 60 s; severe LD, the largest drop in heart rate from baseline was ≥ 15 bpm; and severe PD, the lowest point was < 80 bpm