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Assessment of fetal growth, size, and well-being 

Assessment of fetal growth, size, and well-being
Assessment of fetal growth, size, and well-being

Murray Enkin

, Marc J. N. C. Keirse

, James Neilson

, Caroline Crowther

, Lelia Duley

, Ellen Hodnett

, and Justus Hofmeyr

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date: 26 October 2020

“A wide range of tests of fetal well-being have been introduced during the last thirty years, and have enjoyed waves of popularity. Both biochemical tests (which monitor the endocrine function of the placenta or the fetoplacental unit) and biophysical methods of monitoring (which provide different information about fetal growth and physiological function) have the theoretical ability to detect changes in fetal well-being that may occur over hours, days, or weeks. No known method of assessment can predict sudden events, such as cord prolapse or placental abruption, which may also cause fetal damage or death. Chapter 12 covers size and growth, abdominal examination, fetal movement counting, biophysical tests (including ultrasound measurements, Doppler ultrasound, contraction stress testing, non-stress cardiotocography, and the fetal biophysical profile), and biochemical tests.”

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