What is the role of fetal monitoring in women with preeclampsia?

Updated: Jun 12, 2018
  • Author: Michael P Carson, MD; Chief Editor: Edward H Springel, MD, FACOG  more...
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Close fetal monitoring under the direction of an obstetrician is essential in pregnant women with preeclampsia. Preeclampsia is a disease of the placenta. When the placenta is severely affected, subtle hypoperfusion of the fetus can occur, which may initially manifest as a decrease in the amniotic fluid level (oligohydramnios), fetal growth restriction, and intrauterine fetal death as a consequence of placental insufficiency. If these problems with the fetus occur, they may be an indication for delivery.  Monitoring usually consists of monthly ultrasounds to assess fetal growth after viability and fetal surveillance by biophysical profile weekly or non-stress test twice weekly.

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