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Weekly planned <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content>s were commenced at 33\u201035\u00a0weeks. In pregnancies with maternal\u2010fetal complications, the initiation and frequency of the planned <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content> were individualized. Daily maternal assessment of fetal activity was recommended from 28\u00a0weeks, and decreased fetal activity indicated an unplanned <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content>. Data were collected from medical records, and local and regional databases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 3016 planned <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content>s were performed, with a median of five (range 0\u201012) tests per pregnancy. Ninety\u2010five planned <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content>s (3.1%) were abnormal, a finding confirmed by retesting the same day in eight cases (8.4%), thus leading to delivery. Complications were present in seven of these eight pregnancies, whereas no fetal movements for the last 3\u00a0days were reported when the planned <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content> was performed in the eighth pregnancy. When specifically asked, five of the eight women stated that they had observed decreased fetal activity preceding the planned <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content>. In 86 pregnancies (13.4%), maternal perception of decreased fetal activity indicated in total 127 unplanned <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content>s. The combination of decreased fetal activity and further obstetrical assessment led to delivery in 10 of these pregnancies (11.6%). One stillbirth occurred at 37\u00a0weeks in a pregnancy complicated by fetal achondroplasia and polyhydramnios, where the weekly planned <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content>s had been normal. The overall stillbirth rate was thus 1.6\/1000.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Routine use of planned antenatal <jats:styled-content style=\"fixed-case\">NST<\/jats:styled-content>s does not appear to be indicated in pregnancies in women with preexisting diabetes in the absence of maternal\u2010fetal complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13602","type":"journal-article","created":{"date-parts":[[2019,3,2]],"date-time":"2019-03-02T10:45:10Z","timestamp":1551523510000},"page":"1148-1156","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["An audit on a routine antenatal nonstress testing program in pregnant women with preexisting diabetes"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9868-7629","authenticated-orcid":false,"given":"Isabella L.","family":"J\u00f8rgensen","sequence":"first","affiliation":[{"name":"Center for Pregnant Women with Diabetes Rigshospitalet University Hospital Copenhagen Denmark"},{"name":"Department of Obstetrics Rigshospitalet University Hospital Copenhagen Denmark"},{"name":"Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7358-8253","authenticated-orcid":false,"given":"Marianne","family":"Vestgaard","sequence":"additional","affiliation":[{"name":"Center for Pregnant Women with Diabetes Rigshospitalet University Hospital Copenhagen Denmark"},{"name":"Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark"},{"name":"Department of Endocrinology Rigshospitalet University Hospital Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bj\u00f6rg","family":"\u00c0sbj\u00f6rnsd\u00f3ttir","sequence":"additional","affiliation":[{"name":"Center for Pregnant Women with Diabetes Rigshospitalet University Hospital Copenhagen Denmark"},{"name":"Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark"},{"name":"Department of Endocrinology Rigshospitalet University Hospital Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth R.","family":"Mathiesen","sequence":"additional","affiliation":[{"name":"Center for Pregnant Women with Diabetes Rigshospitalet University Hospital Copenhagen Denmark"},{"name":"Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark"},{"name":"Department of Endocrinology Rigshospitalet University Hospital Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2067-5246","authenticated-orcid":false,"given":"Peter","family":"Damm","sequence":"additional","affiliation":[{"name":"Center for Pregnant Women with Diabetes Rigshospitalet University Hospital Copenhagen Denmark"},{"name":"Department of Obstetrics Rigshospitalet University Hospital Copenhagen Denmark"},{"name":"Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.794214"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.5.1385"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)32583-2"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016348609155178"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-198712000-00016"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)90645-2"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(91)90135-8"},{"key":"e_1_2_9_9_1","unstructured":"NICE.Diabetes in pregnancy: management from preconception to the postnatal period.http:\/\/www.nice.org.uk\/guidance\/ng3\/chapter\/1-recommendations. 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