ACOG Committee Opinion
Number 382, October 2007
(Reaffirmed 2010)


Committee on Obstetric Practice

This document reflects emerging clinical and scientific advances as of the date issued and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed.


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Fetal Monitoring Prior to Scheduled Cesarean Delivery

ABSTRACT: There are insufficient data to determine the value of fetal monitoring prior to scheduled cesarean delivery in patients without risk factors.


With the increasing rate of scheduled cesarean deliveries in the United States, clinicians and hospitals must decide whether there is need to determine fetal status prior to scheduled cesarean delivery. At the present time there are insufficient data to determine the value of fetal monitoring, either by electronic fetal heart rate monitoring or by ultrasound, prior to scheduled cesarean delivery in patients without risk factors. The decision to monitor the fetus prior to scheduled cesarean delivery should be individualized. Presence of fetal heart tones prior to surgery should be documented.

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Fetal Monitoring Prior to Scheduled Cesarean Delivery. ACOG Committee Opinion No. 382. American College of Obstetricians and Gynecologists. Obstet Gynecol 2007;110:961.