While both antenatal and intrapartum monitoring have come under criticism, antepartum fetal heart rate surveillance to assess the risk of fetal death and stillbirth is less controversial for the purpose for which it was intended when it was introduced in the s.
Balancing cost and benefit in antepartum fetal surveillance By Haywood L. For nearly 4 decades, fetal heart monitoring FHR has been used to assess antenatal and intrapartum fetal well-being.
Fetal heart rate, fetal movement, and tone in particular are impacted by uteroplacental fetal blood flow alterations and are thereby sensitive to fetal hypoxemia and acidemia. The purpose of this document is to provide a review of the current indications for and techniques of antepartum fetal surveillance and outline management guidelines for antepartum fetal surveillance that are consistent with the best scientific evidence.
This Practice Bulletin provides a review of the indications and techniques for antepartum fetal surveillance with FHR being the consistent parameter used in the assessment of fetal well-being.
Abnormal fetal surveillance is based on physiologic changes that alter fetal heart rate and fetal activity. Antepartum fetal surveillance techniques based on assessment of fetal heart rate FHR patterns have been in clinical use for almost four decades and are used along with real-time ultrasonography and umbilical artery Doppler velocimetry to evaluate fetal well-being.
While nonreassuring fetal surveillance is associated with fetal hypoxemia and acidemia based on these physiologic adjustments, these indicators can neither predict the degree or duration of the fetal acid base disturbance nor precisely predict neonatal outcome.
Copyright the American College of Obstetricians and Gynecologists. Antepartum Fetal Surveillance, July Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions eg, diabetes mellitus as well as those in which complications have developed eg, fetal growth restriction.Antepartum Fetal Surveillance ACOG by william_coronado_10 in Types > Presentations and antepartum fetal surveillance acog.
Obstet Gynecol. ; – Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions (eg, diabetes mellitus) as well as those in which complications have developed (eg, fetal growth restriction).
Antepartum Fetal Surveillance (Obstet Gynecol ;–92) July clinical management guidelines for obstetrician–gynecologists PRACTICE BULLETIN The following titles have been withdrawn from circulation: Use of Prophylactic Antibiotics in Labor and Delivery August Thyroid Disease in Pregnancy.
This topic will provide an overview of antepartum fetal assessment. Detailed discussions of the various techniques and their use in specific clinical settings are available separately: (See "Nonstress test and contraction stress test".).
antepartum fetal surveillance and outline management guidelines for antepartum fetal surveillance that are consistent with the best scientific evidence. N umberJ uly (Replaces Practice Bulletin Number 9, October ).
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