This is yet another test used commonly in the supervision of post-term pregnancies (see Table 22.3) that is not backed up by firm evidence of efficacy. Two randomized trials have addressed the question of whether clinical actions taken on the basis of fetal movement improve fetal outcome [56,57]. The larger of these trials involved over 68,000 women . These trials collectively provide evidence that routine formal fetal movement counting does not reduce the incidence of intrauterine fetal death in late pregnancy. Routine counting results in more frequent reports of diminished fetal activity, with a greater use of other techniques of fetal assessment, more frequent admission to hospital and an increased rate of elective delivery. It may be that fetal movement counting in post-term pregnancy will perform more effectively than it does in low-risk pregnancies. Women will be required to pay extra attention to fetal movements for less than 1 week in the majority of cases and will usually be attending at intervals of 3 days for other tests.
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Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.