AJOG at a Glance
- •Why was this study conducted?A perceived reduction in fetal movements is believed to be associated with an increased risk of stillbirth and poor perintal outcome. As a consequence, many international guidelines recommend urgent ultrasound assessment of fetal wellbeing in women presenting with decreased fetal movements.
- •What are the key findings?There was no difference in rates of abnormal ultrasound findings between the decreased fetal movements group and controls. The number needed to scan to detect a new case of small for gestational age infant in the decreased fetal movements group was 48.
- •What does this study add to what is already known?The frequency of abnormal ultrasound findings are not increased in women with decreased fetal movements compared to controls. The value of an ultrasound scan to identify infants at risk of stillbirth or adverse neonatal outcomes in women reporting decreased fetal movements is questionable and clinicians should reappraise the utility of this investigation in this context.
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