There is no moderate variability and/or no accelerations

PLUS

There are significant decelerations with >=50% of contractions for >=30 minutes

This may be a category 3 fetal heart rate tracing:

category 3 tracing 

RECOMMENDATIONS

Cesarean or Operative Vaginal Delivery Without Further Delay. You may not even want to wait more than 10-15 minutes with the decision of delivery when there is  a category 3 fetal heart rate tracing. 

 

cesarean delivery 

 

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