Indications for Outpatient Antenatal Fetal Surveillance: ACOG Committee Opinion, Number 828.
Obstet Gynecol
; 137(6): e177-e197, 2021 Jun 01.
Article
en En
| MEDLINE
| ID: mdl-34011892
ABSTRACT
ABSTRACT The purpose of this Committee Opinion is to offer guidance about indications for and timing and frequency of antenatal fetal surveillance in the outpatient setting. Antenatal fetal surveillance is performed to reduce the risk of stillbirth. However, because the pathway that results in increased risk of stillbirth for a given condition may not be known and antenatal fetal surveillance has not been shown to improve perinatal outcomes for all conditions associated with stillbirth, it is challenging to create a prescriptive list of all indications for which antenatal fetal surveillance should be considered. This Committee Opinion provides guidance on and suggests surveillance for conditions for which stillbirth is reported to occur more frequently than 0.8 per 1,000 (the false-negative rate of a biophysical profile) and which are associated with a relative risk or odds ratio for stillbirth of more than 2.0 compared with pregnancies without the condition. Table 1 presents suggestions for the timing and frequency of testing for specific conditions. As with all testing and interventions, shared decision making between the pregnant individual and the clinician is critically important when considering or offering antenatal fetal surveillance for individuals with pregnancies at high risk for stillbirth or with multiple comorbidities that increase the risk of stillbirth. It is important to emphasize that the guidance offered in this Committee Opinion should be construed only as suggestions; this guidance should not be construed as mandates or as all encompassing. Ultimately, individualization about if and when to offer antenatal fetal surveillance is advised.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
2_ODS3
/
5_ODS3_mortalidade_materna
/
6_ODS3_enfermedades_notrasmisibles
Problema de salud:
2_sustancias_psicoativas
/
5_maternal_care
/
6_arterial_hypertension
/
6_congenital_chromosomal_anomalies
/
6_endocrine_disorders
/
6_sickle_cell_disorders
Asunto principal:
Atención Prenatal
/
Selección de Paciente
/
Trastornos Relacionados con Sustancias
/
Mortinato
/
Muerte Fetal
Tipo de estudio:
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Screening_studies
Límite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Obstet Gynecol
Año:
2021
Tipo del documento:
Article