Your Pregnancy and Childbirth by American College of Obstetr...

Bloomington (MN): Institute for Clinical Systems Improvement (ICSI).Ītacag T, et al. Do not rely on proteinuria to screen for gestational hypertension periodically check the blood pressure.Īkkerman D, et al. For assessing the potential development of preeclampsia in pregnant women, routine urine dipstick or urinalysis are not recommended as the test for albumin levels is unreliable. For screening of healthy pregnant women, urinalysis for glucose to assess the risk of developing gestational diabetes is not recommended due to low sensitivity.

Routine urinalysis (for glucose and protein) in low-risk pregnancies is not recommended.

Don’t perform routine urinalysis (protein, glucose) at every antenatal visit (in low risk normotensive women).

Randomised controlled trial of cardiotocography versus Doppler auscultation of fetal heart at admission in labour in low risk obstetric population. Fetal Health Surveillance: Antepartum and Intrapartum Consensus Guideline: Fetal Health Surveillance in Labour. A Prospective Comparison of Selective and Universal EFM in 34,995 Pregnancies. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. EFM therefore increases risk of intervention and decreases choice without providing meaningful benefit to patient or neonatal outcomes in low risk patients.Īlfirevic Z, et al. Further, EFM restricts movement and positioning, excludes the option of using a birthing pool, and requires greater resource use to continuously interpret fetal heart rate tracings. Intermittent auscultation results in no significant difference in the number of infant deaths during and shortly after labour, cerebral palsy rates, use of drugs for pain relief, and cord blood acidosis in low risk patients. Continuous electronic fetal monitoring (EFM) leads to significantly greater rates of caesareans and operative vaginal deliveries in low risk patients compared to those monitored with intermittent auscultation.

Your Pregnancy and Childbirth by American College of Obstetr...