Antepartum fetal surveillance techniques

A. Antepartum fetal surveillance should be initiated in pregnancies in which the risk of fetal demise is known to be increased. These problems can include maternal conditions such as antiphospholipid syndrome, chronic hypertension, renal disease, systemic lupus erythematosus, or type 1 diabetes mellitus. Monitoring should also be initiated in pregnancy-related conditions such as preeclampsia, intrauterine growth restriction (IUGR), multiple gestation, poor obstetrical history, or postterm pregnancy.

B. Antepartum fetal surveillance can include the nonstress test (NST), BPP, oxytocin challenge test (OCT), or modified BPP.

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