Reduced fetal movements / non-reactive CTG

HIGH-YIELD Appears 4×

Teaching point

For reduced fetal movements with a borderline/non-reactive CTG (baseline 100-140, low variability) the first step is fetal stimulation (cold drink/acoustic/glucose) and repeat the CTG. At term with a favourable cervix consider induction; absent fetal heart needs ultrasound to confirm demise before management.

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