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Guideline No. 441: Antenatal Fetal Health Surveillance
Kirsten M Niles1, Venu Jain2, Cynthia Chan3
1Surrey, British Columbia.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|September 3, 2023
Summary
This guideline provides recommendations for antenatal fetal health surveillance (FHS) to detect fetal decompensation and prevent adverse perinatal outcomes. Optimizing FHS protocols can improve outcomes and reduce harm for high-risk pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Perinatal Medicine
Background:
- Current evidence on antenatal fetal health surveillance (FHS) is summarized to guide clinical practice.
- Identifies pregnant individuals at risk for antenatal fetal decompensation.
Framework:
- Utilizes basic and advanced antenatal testing modalities tailored to individual risk factors.
- Aims to detect perinatal risk factors and potential fetal decompensation early.
Implementation:
- Facilitates timely intervention to prevent perinatal morbidity and mortality.
- Recommendations are based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
Implications:
- Optimized FHS protocols can improve perinatal outcomes and reduce harm.
- Addresses potential harms of FHS, including unnecessary interventions and increased healthcare resource utilization.
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