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Table 4-4

Recommendations for Antenatal Fetal Testing: Fetal Conditions

IndicationRecommended TestsSuggested Gestational Age for CommencementFrequency of Testing
Intrauterine growth restrictionUmbilical DopplersTime of diagnosisWeekly or twice weekly
NSTWeekly to daily
AFIWeekly
BPPWeekly to daily
IsoimmunizationMCA Doppler for fetal anemia16-18 wkWeekly
Preterm premature rupture of membranes (PPROM)NSTAt time of PPROMDaily to twice a week
BPP
History of prior stillbirthKick counts26-28 wkDaily
NST, AFI, BPP32 wk or 1-2 wk prior to GA of previous stillbirthWeekly to twice a week

Abbreviations: AFI, amniotic fluid index; BPP, biophysical profile; GA, gestational age; MCA, middle cerebral artery; NST, nonstress test.