I concur. The early evidence by Sadovsky in Israel said there was a 10 hour
window when you could detect fetal compromise and intervene. I reported
with two physicians a case where that happened in the 70's but the reality
is that there is no eveidence to support it.
Trish Payne
--On Thursday, January 23, 2003 6:51 PM +0000 Hora Soltani
<[log in to unmask]> wrote:rrr
> Dear All
> I am asked to look at the evidence around "routine fetal movement
> counting". One of my colleagues and I have done a quick lit search and
> come up with a summary which I include in the bottom of this message (not
> being allowed to put attachments)! I will appreciate your views on this/
> any other evidence for either side of the argument. Cheers
> Hora
>
> Literature Review - Routine Fetal Movement Counting (Summary)
>
> The purpose of this review is mainly to investigate the use of routine
> fetal movement counting. Available research articles were examined by
> two reviewers and the results are summarised below. In brief, current
> available evidence does not support the use of routine fetal movement
> counting.
>
> · There are currently four proposed methods of counting with varying
> degrees of validation: Fixed count number, fixed time period, individual
> count number, and counting movement clusters. The most commonly used
> method is to ask the mother to record on a chart each day, the time at
> which she has noticed 10 kicks. There is little or no robust evidence to
> prove superiority of any of the above methods over the other.
> · The success of any of these methods is reliant on the motivation
> and compliance of the mother as well as their understanding of the system
> they are using.
>
>
> · Available studies show no improved outcomes for routine counting.
> The largest of these is the study by Grant, Elbourne, Valentin &
> Alexander (1989), which had a sample size of over 68,000 women. This
> randomised controlled study did not show any significant reduction in the
> perinatal mortality in the group who had routine fetal movement
> counting.
>
> · The introduction of routine counting may have significant resource
> implications for the women who are required to spend time every day
> counting fetal movements, and attending hospital when the movements are
> reduced; for the midwifery staff, in teaching women how to use the
> counting method; and for medical staff assessing the increased number of
> hospital admissions for decreased fetal movements. It also increases
> interventional deliveries.
>
>
> · Once a woman has attended medical care with decreased fetal
> movements, appropriate and timely assessment and intervention (if
> appropriate) are essential.
>
>
> Dr Hora Soltani
> Lead Research Midwife
> Derby City General Hospital
> Tel: 01332 340131, ext. 5134
>
>
>
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