Journal of Pregnancy and Neonatal Medicine

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Perspective - Journal of Pregnancy and Neonatal Medicine (2024) Volume 8, Issue 5

Fetal Assessment Techniques: Monitoring Health and Development during Pregnancy

Kenji Matsui *

Department of Reproductive Health, Nagasaki University, Japan

*Corresponding Author:
Kenji Matsui
Department of Reproductive Health, Nagasaki University, Japan
E-mail: matsui@nu.jp.in

Received: 25-Sep-2024, Manuscript No. AAPNM-24-151702; Editor assigned: 26-Sep-2024, PreQC No. AAPNM-24-151702(PQ); Reviewed: 10-Oct-2024, QC No. AAPNM-24-151702Revised: 15-Oct-2024, Manuscript No. AAPNM-24-151702(R); Published: 22-Oct-2024, DOI: 10.35841/aapnm-8.5.228

Citation: : Matsui K. Fetal assessment techniques: Monitoring health and development during pregnancy. J Preg Neonatal Med. 2024;8(5):228

Visit for more related articles at Journal of Pregnancy and Neonatal Medicine

Introduction

Fetal assessment techniques are crucial for monitoring the health and development of the fetus throughout pregnancy [1]. These methods provide valuable insights into fetal well-being, allowing healthcare providers to identify potential complications early and ensure optimal outcomes for both mother and baby. Various techniques are employed at different stages of pregnancy, each serving specific purposes in assessing fetal health [2].

One of the most common fetal assessment techniques is ultrasound imaging. This non-invasive procedure uses sound waves to create visual images of the fetus, placenta, and amniotic fluid. Ultrasound is typically performed during the first trimester to confirm pregnancy and establish gestational age [3]. It is also used during the second trimester for detailed anatomical assessments, checking for any congenital anomalies and evaluating fetal growth. Additionally, ultrasound can be utilized in the third trimester to monitor fetal positioning and the volume of amniotic fluid [4].

Doppler ultrasound is a specialized form of ultrasound that assesses blood flow in the fetus. It measures the fetal heart rate and can evaluate the blood flow through the umbilical cord and major arteries, providing information about fetal oxygenation and overall well-being. This technique is particularly valuable in high-risk pregnancies where monitoring fetal distress is essential [5].

Another key assessment method is fetal heart rate monitoring. This can be performed using external or internal devices during labor. External monitoring involves placing sensors on the mother’s abdomen to track the fetal heart rate and uterine contractions [6]. Internal monitoring provides more precise readings by placing a small electrode on the fetal scalp. These methods help assess the fetus's response to labor and can indicate potential complications, such as fetal distress [7].

Amniocentesis and chorionic villus sampling (CVS) are invasive techniques used to assess fetal genetic health. Amniocentesis involves extracting a small amount of amniotic fluid from the uterus, while CVS involves obtaining tissue from the placenta.[8]. Both procedures allow for genetic testing and can identify chromosomal abnormalities, providing valuable information for parents and healthcare providers in managing potential issues [9].

Non-stress tests (NST) and biophysical profiles (BPP) are additional assessment methods used, especially in high-risk pregnancies. An NST measures fetal heart rate in response to fetal movements, assessing how well the fetus is coping with stress. A BPP combines an NST with an ultrasound to evaluate fetal movements, muscle tone, breathing movements, and amniotic fluid levels, providing a comprehensive picture of fetal health [10].

Conclusion

Fetal assessment techniques are vital for monitoring the health and development of the fetus during pregnancy. By employing a combination of non-invasive and invasive methods, healthcare providers can ensure that any potential complications are identified and managed promptly. These techniques not only enhance the safety of both mother and baby but also provide expectant parents with reassurance during their pregnancy journey.

References

  1. Farley D, Dudley DJ. Fetal assessment during pregnancy. Clin. Pediatr. 2009;56(3):489-504.
  2. Google Scholar

  3. Brown R, Johnstone ED, Heazell AE. Professionals' views of fetal-monitoring support the development of devices to provide objective longer-term assessment of fetal wellbeing. J Matern Fetal Neonatal Med. 2016;29(10):1680-6.
  4. Indexed at, Google Scholar, Cross Ref

  5. Thacker SB, Stroup D, Chang MH, et al. Continuous electronic heart rate monitoring for fetal assessment during labor. Cochrane Database Syst Rev. 1996;2006(2).
  6. Indexed at, Google Scholar, Cross Ref

  7. Pettker CM, Campbell KH. Antepartum fetal assessment. Avery's Neonatal Disease. 2018:145-57.
  8. Google Scholar

  9. Sokol RJ, stojkov J, chik L. Maternal-fetal risk assessment: A clinical guide to monitoring. Clin Obstet Gynecol. 1979;22(3):547-60.
  10. Indexed at, Google Scholar, Cross Ref

  11. Dore S, Ehman W. 396-fetal health surveillance: intrapartum consensus guideline. J Obstet Gynaecol Can. 2020;42(3):316-48.
  12. Indexed at, Google Scholar, Cross Ref

  13. James D. Assessing fetal health. Current Obstetrics & Gynaecology. 2002;12(5):243-9.
  14. Akbulut A, Ertugrul E, Topcu V. Fetal health status prediction based on maternal clinical history using machine learning techniques. Comput Methods Programs Biomed. 2018;163:87-100.
  15. Indexed at, Google Scholar, Cross Ref

  16. Haverkamp AD, Orleans M. An assessment of electronic fetal monitoring. J Womens Health. 1983;7(3-4):115-34.
  17. Google Scholar

  18. Heazell AP, Frøen JF. Methods of fetal movement counting and the detection of fetal compromise. J Obstet Gynaecol. 2008;28(2):147-54.
  19. Indexed at, Google Scholar, Cross Ref

Get the App