• Goals
  • Indications
  • When to start & Frequency
  • FMC
  • NST
  • VAST
  • BPP
  • Modified BPP- Doppler-CST
  • Interpertations & managment
    • Obstetric care-providers have two patients:

  •         Mother

            Fetus

    • Assessment of maternal well being is relatively easy, but fetal well being is far more difficult to assess.
    Several tests have been developed to confirm fetal well-being prior to labour and delivery is called fetal surveillance.
  • When to start fetal Assessment

    ** Risk assessed individually(usually between 28-32 weeks)

    **For D.M. fetal assessment should start from 32 weeks onward if uncomplicated

    ***If complicated D.M. start at 24 weeks onward

    **For Post date pregnancy start at 40 weeks

    **For any patient with decrease fetal movement start immediately

    ** Fetal assessment is done once or twice weekly

  • Indications for antepartum fetal monitoring :
    • Patients at high risk of utero-placental insufficiency

          Prolonged pregnancy

      Diabetes mellitus

      Hypertension

      Previous stillborn

      Suspected FGR

      Advanced maternal age

      Multiple gestation with discordant growth

      Anti-phospholipid syndrome

    • When other tests suggest fetal compromise

      Suspected FGR

      Decreased fetal movement

      Oligo-hydramnios

    • Routine ante-partum surveillance
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  •  
  •  Methods of Fetal Assessment:

  •  Fetal Movment count

       NST (non-stress test)

       CST

       BPP

       Modified BPP

       VAST

       Doppler

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