Holm Tveit JV SE, Stray-Pedersen B, Bordahl PE, Flenady V, Fretts R, Froen JF: Reduction of late stillbirth with the introduction of fetal movement information and guidelines—a clinical quality improvement. BMC Pregnancy Childbirth 2009, 9(32). Fourteen hospitals in Norway participated in this study, which aimed to improve care by providing written information to pregnant women about Decreased Fetal Movement and to provide guidelines on Decreased Fetal Movement to healthcare providers. There was an overall decrease of stillbirths by 1/3, with no increase of preterm births, or need for neonatal care. Reduction of Late Stillbirth
ACOG Committee on Practice Bulletins with the Assistance of Ruth C Fretts: ACOG practice bulletin: Clinical management guidelines for Obstetrician-Gynecologists 102 03/2009: Obstet Gynecol 113: 748-761
Winje B, Saastad E, Gunnes N, Tveit J, Stray-Pedersen B, Flenady V, Frøen J. Analysis of ‘count-to-ten’ fetal movement charts: a prospective cohort study. BJOG 2011;118:1229–1238.
Barbieri, Robert: Stillbirth: Preventable tragedy or a lethal “act of nature” an editorial. OBG management 2010:22: 3-16
Saastade E, Winje BA, Israel P, Froen JF: Fetal movement counting—maternal concern and experiences: a multicenter, randomized, controlled trial. Birth 2012 Mar; 39 (1): 10-20
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Guidelines for Perinatal Care, 6th Edition, 2007, American Academy of Pediatrics and American College of Obstetricians and Gynecologists, page 114 (under paragraph entitled Assessment of Fetal Movement): “The perception of 10 distinct movements in a period of up to 2 hours is considered reassuring. After 10 movements have been perceived, the count can be discontinued for that day.”
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