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    ACOG Guidelines at a Glance: Antepartum fetal surveillance



    Antenatal fetal surveillance has stood the test of time with regard to the goal of preventing stillbirth in the fetus at risk based on indications for testing. As such, the additional cost for testing in the appropriate setting appears to have benefit. However, clinicians should be reminded that the least costly antenatal surveillance modality is maternal fetal movement assessment as a test for well-being in low- and high-risk women, even if its effectiveness in preventing stillbirth is uncertain.

    Fetal kick counting in current antenatal clinical care appears to be underutilized and clinicians should be reminded to educate women about this modality in antenatal care.



    1. Miller DA, Rabelllo YA, Paul RH. The modified biophysical profile: Antepartum testing in the 1990s. Am J Obstet Gynecol. 1996;174:812–817.

    2. American College of Obstetricians and Gynecologists Practice Bulletin number 145: Antenatal Fetal Surveillance. Obstet Gynecol. 2014;124:182–192.

    3. Doppler assessment of the fetus with intrauterine growth restriction. Society for Maternal-Fetal Medicine. Am J Obstet Gynecol. 2012;206:300–308.

    Haywood L. Brown, MD
    Dr. Brown is the F. Bayard Carter Professor and Chair, Division of Maternal Fetal Medicine, Duke University Medical Center, Durham, ...


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