We present the case of a 5-month-pregnant woman for craniotomy in prone position.
Use of intraoperative fetal heart rate monitoring for non-obstetric surgery is controversial.
Monitoring can be done on pre-viable fetus to optimize maternal positioning and fetal oxygenation.
In our case, attempts at fetal monitoring were unsuccessful due to problems with prone positioning.
Patient made good recovery after surgery and delivered a healthy term baby four months later.