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Antenatal TestingA Reevaluation: Executive Summary of a Eunice Kennedy Shriver National Institute of Child Health and Human Development Workshop

Signore, Caroline MD, MPH1; Freeman, Roger K. MD2,3; Spong, Catherine Y. MD1

Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e318197bd8a
Current Commentary
Abstract

In August 2007, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National Institutes of Health Office of Rare Diseases, the American College of Obstetricians and Gynecologists, and the American Academy of Pediatrics cosponsored a 2-day workshop to reassess the body of evidence supporting antepartum assessment of fetal well-being, identify key gaps in the evidence, and formulate recommendations for further research. Participants included experts in obstetrics and fetal physiology and representatives from relevant stakeholder groups and organizations. This article is a summary of the discussions at the workshop, including synopses of oral presentations on the epidemiology of stillbirth and fetal neurological injury, fetal physiology, techniques for antenatal monitoring, and maternal and fetal indications for monitoring. Finally, a synthesis of recommendations for further research compiled from three breakout workgroups is presented.

In Brief

An executive summary of a Eunice Kennedy Shriver National Institute of Child Health and Human Development workshop on antepartum fetal surveillance is presented.

Author Information

From the 1Pregnancy and Perinatology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, United States Department of Health and Human Services, Bethesda, Maryland; the 2Pediatrix Medical Group, Fort Lauderdale, Florida; and the 3Department of Obstetrics and Gynecology, University of California, Irvine, Women’s Hospital at Long Beach Memorial Medical Center, Long Beach, California.

For a list of workshop participants, see the Appendix online at http://links.lww.com/A759.

The workshop was jointly sponsored by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National Institutes of Health Office of Rare Diseases, the American College of Obstetricians and Gynecologists, and the American Academy of Pediatrics.

Dr. Spong, Associate Editor of Obstetrics & Gynecology, was not involved in the review or decision to publish this article.

Corresponding author: Caroline Signore, MD, MPH, NICHD/NIH, 6100 Executive Boulevard, Room 4B03, MSC 7510, Bethesda, MD, 20892; signorec@mail.nih.gov.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2009 by The American College of Obstetricians and Gynecologists.