In the obstetric literature, factitious cases of antepartum hemorrhage, trophoblastic disease, pyrexia,
decreased fetal movement, ectopic pregnancy and hyperemesis gravida have been reported.
Some of these, such as a single complaint of
decreased fetal movement or a history of a maternal fall, may require as little as one single NST, possibly in conjunction with other testing modalities.
A 29-year-old pregnant woman who was being treated with azathioprine for autoimmune hepatitis consulted at 32 weeks of gestation for
decreased fetal movement. Obstetric ultrasound revealed many heterogeneous, hypervascular fetal tumors in the left armpit (Figure 1), intra-abdominal organs, and subcutaneous space (Figure 2).
clinic, the mother reported
decreased fetal movement. Acoustic stimulation of the fetus was attempted twice without response.
A 29-year-old woman, G2P1, reports
decreased fetal movement at 38 weeks' gestation.