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Common Issues in Prenatal Care: Antepartum Fetal Surveillance
Brandon Williamson1, Nicholas LeFevre2, Allison Kolker1
1Texas A&M University School of Medicine Family Medicine Residency, 2900 East 29th Street Suite 100, Bryan, TX 77802
FP Essentials
|February 13, 2023
Summary
Antepartum fetal surveillance (AFS) tests help monitor high-risk pregnancies for stillbirth. Regular testing, including fetal movement monitoring and biophysical profiles, is crucial for assessing fetal well-being.
Area of Science:
- Perinatology
- Maternal-Fetal Medicine
- Obstetrics
Background:
- Stillbirth risk necessitates regular antepartum fetal surveillance (AFS).
- AFS initiation typically aligns with the gestational age considered for delivery.
- High-risk pregnancies may require more frequent surveillance testing.
Purpose of the Study:
- To outline the indications and methods for antepartum fetal surveillance.
- To detail various AFS tests and their applications.
- To emphasize the interpretation of AFS results and subsequent management.
Main Methods:
- Regular antepartum fetal surveillance (AFS) for high-risk patients.
- Utilizing tests such as nonstress test, contraction stress test, biophysical profile, and modified biophysical profile.
- Employing umbilical artery Doppler velocimetry for fetal growth restriction.
Main Results:
- AFS tests include fetal movement monitoring, nonstress test, contraction stress test, biophysical profile, and modified biophysical profile.
- Umbilical artery Doppler velocimetry is indicated for fetal growth restriction.
- Abnormal AFS results warrant further assessment and potential delivery.
Conclusions:
- Normal AFS results offer reassurance but do not predict acute events like placental abruption.
- Consistent fetal surveillance is vital for managing high-risk pregnancies.
- Timely intervention based on AFS findings is essential for optimizing fetal outcomes.
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