Fetal assessment in the adult intensive care unit

Ideally the clinical management of a critically ill pregnant woman is based on a collaborative approach with members of the ICU and perinatal team each contributing their expertise to promote the best out-come for the mother and baby. The interdisciplinary team also should include anesthesia providers and neonatal specialists. The physical space (ICU or labor and delivery unit) is less important than the quality and coordination of the care and treatment. The responsibility for fetal assessment when the woman is critically ill should rest with those who have this expertise. Working together provides the best opportunity for optimal outcomes.