Free Fetal Assessment and Safe Care During Labor Monograph from NCC! December 22, 2025

Click to Download the FREE “Fetal Assessment and Safe Care During Labor” Monograph.


Safe care for mothers and babies during labor and birth is the goal of all health care professionals and is an expectation of childbearing women and their families.

Fetal assessment is a key aspect of perinatal patient safety.



NCC’s Fetal Assessment and Safe Care During Labor Monograph is available to all health care professionals free of charge.

Authored by Kathleen Rice Simpson, PhD, RNC-OB, CNS-BC, FAAN, this monograph was created to incorporate evidence-based labor management guidelines into maternal and fetal assessment during the intrapartum period and includes a brief review of the definitions for fetal heart rate (FHR) patterns developed by the National Institute of Child Health and Human Development (NICHD). It also offers an overview of FHR interpretation principles, physiologic implications, and intrauterine resuscitation measures.

One of the main objectives of the heightened focus on labor management is prevention of the first cesarean birth, which avoids maternal morbidity and mortality related to primary and repeat cesareans.

After you have read and reviewed this free monograph, test your understanding by purchasing and completing one or both available CE modules!

Download the free monograph here or visit NCC-EFM.org and learn about other free resources available in the EFM toolkit.