Reduced fetal movements: a research-based project

<jats:p> Variable and overmedicalized policies regarding the identification, assessment and monitoring of reduced fetal movements were recently questioned. Evidence was acquired through an extensive literature search, information from other units and a 3-month local audit. Audit findings indicated great variances in maternal perception, with links to changing gestation and fetal and placental positions. Greatest fetal activity occurred at night. Women reported concerns over a wide range of times, and appeared to be receiving inconsistent advice, resulting in increased anxieties. Technological tests were being over-relied upon and inappropriately used. The vast majority of women were noted to have normal movements and pregnancies following assessment. It was concluded that improved education of mothers and professionals was required to more appropriately identify a reduction in movements. An information leaflet was designed, and the Cardiff chart updated and modified. A low-key, individualized protocol for assessment and monitoring was devised and implemented. </jats:p>