Elsevier

Women and Birth

Volume 32, Issue 1, February 2019, Pages 1-2
Women and Birth

Beyond the headlines: Fetal movement awareness is an important stillbirth prevention strategy

https://doi.org/10.1016/j.wombi.2018.12.001Get rights and content

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Declaration of interest

Vicki Flenady, David Ellwood, Glenn Gardener, Philippa Middleton, Michael Coory, Megan Weller, Della Forster, Adrienne Gordon, Fran Boyle, Katie Groom, Caroline Crowther, and Sue Walker are investigators on the My Baby’s Movements trial funded by the National Health and Medical Research Council in Australia. Ingela Radestad is the lead investigator for the Mindfetalness trial. Keelin O’Donoghue is the lead investigator for REducing stiLlbirth through bEhaViour chAnge iNtervenTions (RELEVANT)

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    There are insufficient data to make specific recommendations regarding fetal kick counts. Best practices regarding fetal kick counting seems to involve encouragement of awareness of fetal movement patterns, being attentive to the complaint of reduced fetal movements, addressing the complaint in a systematic way, and the use of shared decision making to use interventions safely.139 The decision to proceed with early delivery to prevent stillbirth must incorporate an understanding of the increased risks of maternal and neonatal complications compared with the potential benefits.

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