Reduced Foetal Movement

Question 1

RFM Definition

Answer 1

-Movements are first perceived between 18 and 20 weeks
Majority of women experiencing a still birth perceive a reduction in foetal movements
-Foetal movements tend to plateau at 32 weeks but they should not stop

Question 2

RFM Management

Answer 2

• History
• Be aware of association of RFM FGR, SGA< placental insufficiency and malformations
• Auscultate heart using a handheld doppler
• Assess foetal size with aim of detecting SGA
• If over 28 weeks, heart rate is detected but still RFM; CTG
• If CTG normal but RFM still suspected, USS
• SUM- doppler, if normal but still worried; CTG if normal but still worried; USS