Reduced Foetal Movements Flashcards
1
Q
When are foetal movements first perceived by the mother?
A
18-20 weeks
2
Q
How are FM usually defined?
A
kick, flutter, roll
3
Q
What may a significant reduction/ absence of FM indicate?
A
Impending foetal death
4
Q
Taking a history for RFM. What RFs for still-birth do you need to ask about?
A
Multiple consultations for RFM, known FGR, HTN, diabetes, extremes of maternal age, smoking, placental insufficiency, obesity, poor past obstetric history
5
Q
What is the role of CTG in RFM?
A
To exclude foetal compromise if the pregnancy is >28 weeks
6
Q
What is the role of USS in RFM?
A
> 28 weeks: If RFM persists despite a normal CTG or any additional RFs
7
Q
RFM <28 weeks - how should foetal heart beat be confirmed?
A
Ascultation with a hand-held doppler
