ABSTRACT
ANTEPARTUM TESTING DURING CERVICAL RIPENING Fetal heart monitoring during cervical ripening depends on the agent used. There are no trials to assess the effectiveness and best modality for monitoring. In general, a nonstress test (NST) should be obtained before any induction or cervical ripening agent is used to assure fetal well-being. After administration of PGE2 gel or tablet, the fetal heart can be monitored continuously for about 0.5 to 2 hours, although the proper amount of time for monitoring is unclear. After administration of PGE2 insert, the fetal heart can be monitored continuously for the duration of the insertion (99). After administration of misoprostol, the fetal heart should be monitored continuously, given the higher chance of contractions, and uterine tachysystole with related NRFHT.
