Revision D 170 Series Monitor 2-3
2003023-001
Introduction: Risk Conditions
Risk Conditions
NOTE: There may be other factors or
conditions that place a patient at risk.
The goal of electronic fetal monitoring for antepartum testing is to differentiate the
fetus who is tolerating the intrauterine environment well, from the fetus who may be
compromised and require further evaluation or delivery. Some of these conditions
are summarized below.
Maternal Conditions Which Place the Fetus at Risk
The following conditions were summarized from ACOG Technical Bulletin
Number 188, āAntepartum Fetal Surveillance,ā January 1994.
ī Postdate pregnancy (42 weeks or more)
ī Previous unexplained fetal demise
ī Isoimmunization (moderate to severe)
ī Hyperthyroidism
ī Diabetes mellitus (insulin treated)
ī Hypertensive disorders
ī Cyanotic heart disease
ī Chronic renal disease
ī Systemic lupus erythematosus
ī Hemoglobinopathies (hemoglobin SS, hemoglobin SC [presence of both
hemoglobin S and hemoglobin C], or hemoglobin S-thalassemia)
Fetal Indications of Potential Fetal Compromise
The following conditions were summarized from ACOG Technical Bulletin
Number 188, āAntepartum Fetal Surveillance,ā January 1994.
ī Intrauterine Growth Restriction (IUGR)
ī Decrease fetal movement
ī Oligohydramnios
ī Multiple gestation with significantly discordant growth