Fetal movement assessment kick counts

1. A diminution in the maternal perception of fetal movement often but not invariably precedes fetal death, in some cases by several days.

2. The woman lies on her side and counts distinct fetal movements. Perception of 10 distinct movements in a period of up to 2 hours is considered reassuring. Once 10 movements have been perceived, the count may be discontinued. In the absence of a reassuring count, non stress testing is recommended.

Indications for Antepartum Fetal Surveillance

Maternal antiphospholipid syndrome poorly controlled hyperthyroidism hemoglobinopathies cyanotic heart disease systemic lupus erythematosus chronic renal disease type I diabetes mellitus hypertensive disorders

Pregnancy complications preeclampsia decreased fetal movement oligohydramnios polyhydramnios Intrauterine growth restriction postterm pregnancy isoimmunization previous unexplained fetal demise multiple gestation

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