[Antenatal fetal surveillance]

Area of Science:

• Obstetrics and Gynecology
• Fetal Medicine
• Perinatology

Background:

• Modern medical practice requires obstetricians and gynecologists to stay updated on scientific and technological advancements.
• Prenatal evaluation is crucial for identifying fetuses at risk of adverse outcomes, enabling preventive measures.

Purpose of the Study:

• To highlight the importance of comprehensive prenatal evaluation in identifying at-risk fetuses.
• To discuss the utility of fetal biophysical profile and Doppler velocimetry in managing high-risk pregnancies.

Main Methods:

• Determination of fetal biophysical profile within the clinical context.
• Application of Doppler velocimetry of the umbilical artery in high-risk gestations.
• Utilizing Doppler velocimetry of the venous duct for fetal growth restriction before 34 weeks gestation.

Main Results:

• Doppler velocimetry of the umbilical artery aids in improving perinatal outcomes in high-risk pregnancies.
• Doppler velocimetry of the venous duct is valuable for managing fetal growth restriction due to severe placental insufficiency.
• No single test is definitive; combined analysis of methods offers better insight into fetal vitality.

Conclusions:

• Integrated assessment of prenatal diagnostic tools is essential for optimal fetal well-being.
• Effective management of high-risk pregnancies relies on understanding fetal response to hypoxia through various evaluation methods.
• Continuous advancements in technology and scientific understanding enhance the capabilities of obstetric and gynecologic care.