Kingdom JCP, Bajoria R Fetal assessment
and management of labor in twin pregnancy.
Other methods of fetal assessment
were introduced, including biochemical analysis of the maternal and fetal blood.
In moderate or severe asthma, fetal assessment
should include serial ultrasound evaluation in the third trimester and fetal movement counts starting at 28 weeks' gestation.
Continuous fetal monitoring should be performed when asthma is uncontrolled or severe, or when fetal assessment
on admission is not reassuring.
It recommends a review of training and supervision for all professionals involved in fetal assessment
Despite these guidelines, ACOG has tried to downplay pH significance: "Although its exact role is controversial, determination of fetal capillary pH (scalp sampling) may be a useful adjunct to interpartum fetal assessment
but is not considered a standard of care.
Garite's research has focused on intrapartum and antepartum fetal assessment
through fetal heart rate monitoring and pulse oximetry, general prematurity, premature rupture of membranes and the infectious etiology of prematurity, and the management of labor.