Antepartum fetal assessment is used in pregnancies at high risk for pe
rinatal morbidity and mortality. Current testing options include the f
etal movement count, the nonstress test, the contraction stress test a
nd the biophysical profile. Vibroacoustic stimulation is a useful adju
nctive procedure. All of these modalities have limitations. A strict p
rotocol for antepartum fetal surveillance that is applicable to all pa
tients is not possible. However, a testing approach based on general p
rinciples and guidelines can be followed.