Fetal Assessment in Pregnancy (Indication and Methodology for Fetal Monitoring in a Low-risk Population). Guideline of the DGGG, DEGUM, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/089, February 2023)
Purpose The aim of this guideline was to find evidence on whether carrying out Doppler examinations and CTGs in low-risk cohorts of pregnant women improves outcomes. Methods First, a systematic search for guidelines was carried out. Identified guidelines were evaluated using the DELPHI instrument of...
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Veröffentlicht in: | Geburtshilfe und Frauenheilkunde 2023-08, Vol.83 (8), p.996-1016 |
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Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
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Zusammenfassung: | Purpose
The aim of this guideline was to find evidence on whether carrying out Doppler examinations and CTGs in low-risk cohorts of pregnant women improves outcomes.
Methods
First, a systematic search for guidelines was carried out. Identified guidelines were evaluated using the DELPHI instrument of the AWMF. Three guidelines were found to be
suitable to evaluate CTG. Two DEGUM best practice guidelines were judged suitable to describe the methods. All studies on this issue were additionally analyzed using 8 PICO questions. A
structured consensus of the participating professional societies was achieved using a nominal group process and a structured consensus conference moderated by an independent moderator.
Recommendations
No antepartum Doppler sonography examinations should be carried out in low-risk cohorts in the context of antenatal care. No antepartum CTG should be carried out in
low-risk cohorts.
Note
The guideline will be published simultaneously in the official journals of both professional societies (i.e.,
Geburtshilfe und Frauenheilkunde
for the DGGG and
Ultraschall in der Medizin/European Journal of Ultrasound
for the DEGUM). |
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ISSN: | 0016-5751 1438-8804 |
DOI: | 10.1055/a-2096-1182 |