Clinical Practice Guidelines For The Management Of Women With Decreased Fetal Movements (dfm)

S Preston, K Mahomed, V Flenady, Y Chadha, G Gardener, J Macphail, L Conway, L Koopmans, T Stacey, A Heazell, R Fretts, F Frøen

Research output: Contribution to journalMeeting Abstract

Abstract

Background:The management of women who present with decreased fetalmovements (DFM), varies widely. The aims of this guideline are to assistclinicians in providing consistent best-practice management for womenwith DFM, and to enhance consistency of information provided to women.Method:The NHMRC guidelines for developing clinical practice guidelineswere adopted to compile this guideline. Guideline recommendations wereprepared with strength of recommendation grading by a multidisciplinaryworking group of ANZSA. In conjunction with the guideline, an infor-mation flyer for women was also developed.Results:Fifteen recommendations for fetal movement monitoring andmanagement of DFM were developed. However, due to insufficient evi-dence, the practice recommendations are largely consensus based. Whilethe routine use of formal kick counting using kick-charts is not recom-mended, the guideline raises the importance of women’s and clinician’sawareness of the importance of DFM as a marker for pregnancies at in-creased risk.Conclusions:While it is hoped this guideline will assist clinicians inproviding consistent information to women and will improve outcomes byraising awareness about the importance of maternal perception of DFM,further well-designed studies are needed to ensure women are providedwith appropriate information and clinical care in relation to fetal move-ment monitoring and DFM
Original languageEnglish
Pages (from-to)33
Number of pages1
JournalJournal of Paediatrics and Child Health
Volume46
Issue numbers1
DOIs
Publication statusPublished - 8 Mar 2010
Externally publishedYes
Event14th Annual Congress of the Perinatal Society of Australia and New Zealand - Wellington, New Zealand
Duration: 28 Mar 201031 Mar 2010

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