Obstetrics & Gynaecology
Reduced Fetal Movements (RFM)
Assessment and management of reduced fetal movements from 24 weeks gestation
Source: RCOG GTG 57 2011
Step 1 of ~10
info
Reduced Fetal Movements
RFM: subjective decrease in frequency or intensity of fetal movements from normal pattern. Associated with placental insufficiency, fetal compromise, and stillbirth. From 24 weeks, advise all women to report RFM. No defined cut-off; focus on change from normal for that fetus.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Folinic acid (calcium folinate) · Reduced folate
- Levofolinic acid (calcium levofolinate) · Reduced folate (active enantiomer of folinic acid)
- Methotrexate (Ectopic) · Antimetabolite (Ectopic Pregnancy Management)
- Betamethasone (Antenatal Corticosteroids) · Corticosteroid (Fetal Lung Maturation)
Pathways
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Pre-Eclampsia / Eclampsia in ED · NICE NG133; RCOG Green-top 10A
- Suspected Ectopic Pregnancy · NICE NG126; RCOG Green-top 21
- Polycystic Ovary Syndrome (PCOS) · International PCOS Guideline 2023; NICE CKS
- Pre-eclampsia Management · NICE NG133 2019
- Ectopic Pregnancy · NICE CG154 / RCOG GTG 21
Decision support only. Always apply local guidelines and clinical judgement.