After an almost thirty year gap, there have been three large scale randomized trials investigating whether interventions to increase maternal and/or staff awareness of reduced fetal movements (RFM) reduces the stillbirth rate. Each study has employed different approaches; in the most recently reported study Flenady et al. report the outcome of a stepped-wedge cluster randomized controlled trial of a mobile phone based application (My Baby’s Movements and Me) compared to standard care of a written brochure about fetal movements and a clinical practice guideline (Flenady et al. BJOG, 2021;TBC:TBC). The intervention did not significantly reduce the rate of stillbirth, but there was a significant reduction in the stillbirth rate over time from 2.7 to 2.0 per 1,000 births, on a background of a static stillbirth rate in Australia. Critically, there was not an increase in intervention rates or adverse short-term neonatal outcomes, with a possible reduction in the proportion of infants admitted to the neonatal intensive care unit.¹

中文翻译：

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提高产妇对胎动意识的干预措施并不比标准护理更有效

经过近 30 年的差距，已经有三项大规模随机试验调查了提高产妇和/或工作人员对减少胎动 (RFM) 的认识的干预措施是否会降低死产率。每项研究都采用了不同的方法；在最近报道的研究 Flenady 等人。报告基于手机的应用程序（My Baby's Movements and Me）的阶梯楔形集群随机对照试验的结果，与关于胎儿运动的书面手册和临床实践指南的标准护理（Flenady 等人 BJOG，2021 年；待定：待定）。该干预措施并未显着降低死产率，但随着时间的推移，死产率显着降低，从每 1,000 名新生儿中的 2.7 例降至 2.0 例，这是在澳大利亚静态死产率的背景下。至关重要的是，¹