Professional and patient perspectives of NICE guidelines to abandon maternal monitoring of fetal movements.
Over the past 30 years, fetal movement counts have been recommended to women in the second half of pregnancy as a way of monitoring fetal wellbeing and providing an early warning of fetal distress. However, guidance from the National Institute of Clinical Excellence (NICE) recommends abandoning this. Evidence is reviewed to show that the chance of preventing physical damage to the fetus is indeed low. The activity of monitoring movements has been favoured by the majority of women. The new NICE guidance is useful to clarify professional understanding of the limitation of counting fetal movements, but women who notice decreased movements will still need referral for human factors.
Hill-Smith
Ian
I
South Bedfordshire Practitioners' Group, Luton, UK. ian.hillsmith@gp-E81075.nhs.uk
D005260:Female; D005315:Fetal Diseases / Q000517:prevention & control*; D005323:Fetal Monitoring / Q000379:methods*; D005324:Fetal Movement / Q000502:physiology*; D006801:Humans; D008429:Maternal Welfare; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D012648:Self Care / Q000379:methods*