Fetal growth and amniotic fluid volume assessment and umbilical artery doppler velocimetry in women at high risk of preeclampsia

• NICE suggest that clinicians should carry out ultrasound fetal growth and amniotic fluid volume assessment and umbilical artery doppler velocimetry starting at between 28 and 30 weeks (or at least 2 weeks before previous gestational age of onset if earlier than 28 weeks) and repeating 4 weeks later in women with previous:
  • severe pre-eclampsia
  • pre-eclampsia that needed birth before 34 weeks
  • pre-eclampsia with a baby whose birth weight was less than the 10th centile
  • intrauterine death
  • placental abruption
• in women who are at high risk of pre-eclampsia only carry out cardiotocography if fetal activity is abnormal

Reference:

• 1) NICE (August 2010). Hypertension in pregnancy - the management of hypertensive disorders during pregnancy