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Reduced Fetal Movements (Green-top Guideline No. 57)

Published: 25/02/2011

This is the first edition of this guideline.

The second edition of this guideline is currently in development.

Update February 2017: Following a review of all guidelines in December 2016, some minor editorial changes have been made to this guideline since the original publication. The version available here is the most up to date. The date on the guideline has not been changed since no amendments were made to the content.

Update December 2014: New evidence and guidance in this field were reviewed in 2014 and it was decided that revision of this guideline would be deferred to a later date. The version available on the website and app will remain valid until replaced.

The purpose of this guideline is to provide advice to guide clinicians, based on the best evidence where available, regarding the management of women presenting with reduced fetal movements (RFM) during pregnancy.

This guideline reviews the risk factors for RFM in pregnancy and factors influencing maternal perception, and provides recommendations as to how women presenting in both the community and hospital settings should be managed. This guideline excludes the management of RFM in multiple pregnancy.

As is apparent from the low grading of the evidence for many of the recommendations, they have been developed to provide a broad practical guide for midwives and obstetricians in clinical practice. However, it is recognised that in individual women alternative approaches may be reasonable.