••• Chapter 9^ Postdates Pregnancy and Fetal Demise^95
❍ The nonstress test shown below was performed on a patient at 41 weeks’ gestation. The amniotic fluid
index was 10 cm. Her cervix is uninducible. What are the options for management?
This is a reactive nonstress test in a patient with normal amniotic fluid volume. Reasonable options include
continued expectant management or induction of labor.❍ What risk factors are associated with stillbirth?
Non-Hispanic black race
Nulliparity
Advanced maternal age
Obesity
Maternal medical disorders such as hypertension, diabetes, lupus, renal disease
Smoking
Multiple gestation
Preeclampsia❍ What are causes for stillbirth?
Fetal growth restriction
Placental abruption
Chromosomal/genetic abnormalities
Infection such as CMV, listeria, parvovirus, syphilis, malaria
Cord events