Activity ID



July 12, 2025

Format Type


CME Credit




CME Provider: Louisiana Medical Mutual Insurance Company (LAMMICO)

Description of CME Course

The most frequent OB malpractice allegation, delay in the treatment of fetal distress, involves interpretation and management errors of fetal heart rate patterns (FHR). FHR patterns are divided into 3 categories based on risk of fetal acidemia by criteria outlined in the NICHD 3-Tier FHR Interpretation System. Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This activity is the final part of a three-part series that compares the current ACOG guidelines to the scientific research regarding new approaches to Category II FHR patterns. Risk management solutions, EFM case studies and critical thinking drills are included to improve clinical decision making and reduce claims in this challenging population.

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NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

Implement risk management solutions that increase your interpretation and management of Category II FHR patterns at highest risk for fetal acidemia and injury to increase patient safety and decrease risk.


Electronic Fetal Monitoring, EFM, FHR Category II


Interpersonal & Communication Skills, Patient Care & Procedural Skills, Practice-based Learning & Improvement, Systems-based Practice

CME Credit Type

AMA PRA Category 1 Credit

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