Antepartum surveillance for a history of XXXX : when to begin?

@entity2209 @entity1
OBJECTIVE: A history of @entity2209 is universally accepted as an indication for antepartum fetal heart rate testing. Our goal was to examine when fetal testing should begin in an otherwise healthy @entity1 with a history of @entity2209 . STUDY DESIGN: This is a nonconcurrent cohort study of @entity1 who were seen for antepartum surveillance from January 1979 to December 1991 with a history of @entity2209 as the only indication for testing. Subsequent pregnancies were evaluated for adverse outcomes and abnormal antepartum test results. RESULTS: There was one case of recurrent @entity2209 among the 300 study @entity1 . Nineteen @entity1 (6.4%) had one or more positive antepartum surveillance tests (positive contraction stress test or biophysical profile < or = 4). Three @entity1 (1%) had positive tests before 32 weeks, all of whom were subsequently delivered without incident at term. Three @entity1 were delivered for positive tests at < 36 weeks, one by cesarean section for fetal distress. We could not detect a relationship between the gestational age of the previous stillborn and the incidence of abnormal tests or fetal distress in subsequent pregnancies. CONCLUSION: Antepartum surveillance should begin at > or = 32 weeks in the healthy pregnant @entity1 with a history of @entity2209 .
