When NST is normal but risk factors are identified, what is the recommended follow-up?

In cases where the Non-Stress Test (NST) is normal but there are identified risk factors, scheduling an ultrasound for a Biophysical Profile (BPP) or an amniotic fluid assessment is the recommended follow-up. This approach provides a more comprehensive evaluation of fetal well-being beyond the immediate heart rate patterns observed in the NST.

The BPP includes assessments of fetal heart rate, movement, muscle tone, and breathing, along with an evaluation of the amniotic fluid volume. These components can help in identifying potential risks that may not be apparent from the NST alone, especially if risk factors are present. The BPP offers a broader context regarding the fetus's condition and can guide clinical decisions more effectively.

Continuing with daily fetal movement counts, while beneficial for monitoring, does not provide the same level of detailed information about fetal health as an ultrasound would. Repeating the NST in a week could miss critical changes in fetal status that require earlier intervention. Immediately proceeding to delivery would be an extreme measure if the NST is normal; careful monitoring and assessment through ultrasound is a more balanced and evidence-based approach in this scenario.