Table 2.
Guideline | Cardiotocograph | Biophysical Profile | Amniotic Fluid Volume | Umbilical Artery Doppler | Ultrasound for Foetal Growth |
---|---|---|---|---|---|
NICE (United Kingdom) † [3] | At diagnosis. If normal, do not routinely repeat unless indicated. |
Not recommended | At diagnosis and every two weeks. | At diagnosis and every two weeks. | At diagnosis and every two weeks. |
SOMANZ (Australia and New Zealand) * [43] | Twice weekly or more frequently if indicated. | Not recommended | At diagnosis and every two to three weeks. | At diagnosis and every two to three weeks. | At diagnosis and every two to three weeks. |
ACOG (United States of America) [44,84] | At diagnosis, then twice weekly. | If CTG is non-reactive. | At diagnosis, then at least once weekly. | Adjunct if there is evidence of foetal growth restriction. | At diagnosis and every three to four weeks. |
SOGC (Canada) [64] | Recommended, however timing not specified. | Not recommended | Recommended, however timing not specified. | Recommended, however timing not specified. | Recommended. Timing not specified. |
NICE, National Institute for Health and Care Excellence; SOMANZ, Society of Obstetric Medicine of Australia and New Zealand; ACOG, The American College of Obstetricians and Gynecologists; and SOGC, Society of Obstetricians and Gynaecologists of Canada. † Subsequent surveillance and monitoring depending on scan findings. * These recommendations are suggested as a commonly used guideline. Individual units are advised to develop their own protocols.