title: The management of reduced fetal movements in an uncomplicated pregnancy at term: results from an anonymous national online survey in the Republic of Ireland.
abstract: There is currently inconsistent evidence and clinical guidance on how to best manage a pregnancy complicated by reduced fetal movements. This novel, web-based, anonymous questionnaire evaluated 96 assessment and management approaches from doctors working in obstetrics in the Republic of Ireland who were presented with a clinical scenario of a primigravida concerned about reduced fetal movements at 39+3 weeks' gestation. This study identified a lack of clinical practice guidelines available in maternity hospitals in the Republic of Ireland. We demonstrated that almost all clinicians applied more than one assessment method and that most incorporated a cardiotocograph into their assessment. There was a low uptake of simple symphysio-fundal height measurement and high usage of kickcharts. The minority of clinicians admitted or induced their patients. This survey identified the need for national and international guidelines to ensure safe antepartum care and delivery.
authors.affiliation: The Anu Research Centre, Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland. julia_unterscheider@hotmail.com
authors.forename: J
authors.initials: J
authors.lastname: Unterscheider
authors.forename: R P
authors.initials: RP
authors.lastname: Horgan
authors.forename: R A
authors.initials: RA
authors.lastname: Greene
authors.forename: J R
authors.initials: JR
authors.lastname: Higgins
mesh_terms: D005260:Female; D005323:Fetal Monitoring / Q000379:methods / Q000592:standards; D005324:Fetal Movement; D005865:Gestational Age; D006801:Humans; D007494:Ireland; D008297:Male; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D011248:Pregnancy Complications; D011795:Surveys and Questionnaires