Eftichia V Kontopoulos1, Anthony M Vintzileos. 1. Department of Obstetrics, Division of Maternal-Fetal Medicine, Gynecology and Reproductive Sciences, Robert Wood Johnson University Hospital/Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, New Brunswick, NJ, USA.
Abstract
OBJECTIVE: The purpose of this study was to determine the best available antepartum fetal testing methods according to the underlying pathophysiologic condition. STUDY DESIGN: We reviewed the current literature and our clinical experience with respect to condition-specific antepartum fetal testing. RESULTS: The efficacy of most antepartum tests that we use today is not supported by randomized controlled clinical trials, but from observational nonrandomized studies and expert opinion (evidence levels II or III). CONCLUSION: Based on the available evidence, the accuracy of a test depends on the underlying pathophysiologic condition. To improve accuracy, we must use condition-specific fetal testing.
OBJECTIVE: The purpose of this study was to determine the best available antepartum fetal testing methods according to the underlying pathophysiologic condition. STUDY DESIGN: We reviewed the current literature and our clinical experience with respect to condition-specific antepartum fetal testing. RESULTS: The efficacy of most antepartum tests that we use today is not supported by randomized controlled clinical trials, but from observational nonrandomized studies and expert opinion (evidence levels II or III). CONCLUSION: Based on the available evidence, the accuracy of a test depends on the underlying pathophysiologic condition. To improve accuracy, we must use condition-specific fetal testing.
Authors: Christoph C Lees; Roberto Romero; Tamara Stampalija; Andrea Dall'Asta; Greggory A DeVore; Federico Prefumo; Tiziana Frusca; Gerard H A Visser; John C Hobbins; Ahmet A Baschat; Caterina M Bilardo; Henry L Galan; Stuart Campbell; Dev Maulik; Francesc Figueras; Wesley Lee; Julia Unterscheider; Herbert Valensise; Fabricio Da Silva Costa; Laurent J Salomon; Liona C Poon; Enrico Ferrazzi; Giancarlo Mari; Giuseppe Rizzo; John C Kingdom; Torvid Kiserud; Kurt Hecher Journal: Am J Obstet Gynecol Date: 2022-01-10 Impact factor: 10.693