OVERVIEW

A   37-year-old multipara   with    systemic    lupus   erythematosus   is  at  31  weeks’

gestation.  She has chronic hypertension    that    is  being   controlled  with

methyldopa. She comes   to  the office  stating her fetus   is  not moving  as

much    as  it  used    to.

Antenatal fetal tests are highly accurate in confirming fetal well-being but are
poor predictors of fetal jeopardy. The most common reasons for fetal testing are
decreased fetal movements, diabetes, post dates, chronic hypertension, and
IUGR.