Intermittent auscultation (IA) is a primary method of fetal surveillance in labor. It is the practice of using a device, most commonly a handheld Doppler device or fetoscope, for periodic assessment of the fetal heart rate (FHR) during labor in conjunction with manual palpation to assess uterine contractions (Drummond & Rust, 2021). In the fourth edition of this practice monograph, the literature to date regarding the use of IA is summarized and information is provided regarding the incorporation of IA into intrapartum clinical practice. Topics include IA techniques; interpretation and documentation; clinical decision-making and interventions; communication; education, staffing, and legal issues; and considerations for future practice and research. We direct the reader to the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) Fetal Heart Monitoring Principles and Practices (6th ed., O’Brien-Abel, 2021) for a full discussion of the physiologic basis of fetal heart monitoring (FHM). Evidence-based recommendations regarding the use of IA are provided where possible. Contextual considerations are discussed throughout the monograph. The information provided in the monograph should be used and interpreted in conjunction with existing institutional policies and procedures and within state and national practice guidelines.