Obstet Gynecol. 2021 Jun 1;137(6):e116-e127. doi: 10.1097/AOG.0000000000004410.
The goal of antepartum fetal surveillance is to reduce the risk of stillbirth. Antepartum fetal surveillance techniques based on assessment of fetal heart rate (FHR) patterns have been in clinical use for almost four decades and are used along with real-time ultrasonography and umbilical artery Doppler velocimetry to evaluate fetal well-being. Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions (eg, diabetes mellitus) as well as those in which complications have developed (eg, fetal growth restriction). The purpose of this document is to provide a review of the current indications for and techniques of antepartum fetal surveillance and outline management guidelines for antepartum fetal surveillance that are consistent with the best scientific evidence.
产前胎儿监测的目的是降低死胎的风险。基于胎儿心率（FHR）模式评估的产前胎儿监测技术已在临床应用近四十年，与实时超声和脐动脉多普勒速度描记术一起用于评估胎儿健康状况。产前胎儿监测技术通常用于评估患有先前存在的母体疾病（如糖尿病）或出现并发症（如胎儿生长受限）的妊娠中胎儿死亡的风险。本文的目的是回顾目前产前胎儿监测的适应证和技术，并概述与最佳科学证据一致的产前胎儿监测管理指南。
