Reduced Fetal Movements , RCOG Guideline
Автор: AAUN Obs and Gynae
Загружено: 2022-12-26
Просмотров: 6604
Описание:
Reduced fetal movements means fetal kick count of less than than 10 in one hour or 20 in 2 hours. Maternal perception of fetal movement is one of the first signs of fetal life and is regarded as a manifestation of fetal wellbeing.
Movements are first perceived by the mother between 18 and 20 weeks of gestation and rapidly acquire a regular pattern. Fetal movements have been defined as any discrete kick, flutter, swish or roll.
A significant reduction or sudden alteration in fetal movement is a potentially important clinical sign. It has been suggested that reduced or absent fetal movements may be a warning sign of impending fetal death. Studies of fetal physiology using ultrasound have demonstrated an
association between RFM and poor perinatal outcome.
The majority of women (55%) experiencing a stillbirth perceived a reduction in fetal movements prior to diagnosis. Reduced fetal movements is a common contributory factor in stillbirth.
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