{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:11:47Z","timestamp":1777385507652,"version":"3.51.4"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,12,2]],"date-time":"2015-12-02T00:00:00Z","timestamp":1449014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Decreased fetal movement is associated with adverse pregnancy and birth outcomes; timely reporting and appropriate management may prevent stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Determine effects of interventions to enhance maternal awareness of decreased fetal movement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>Cinahl, The Cochrane Library, <jats:styled-content style=\"fixed-case\">EMBASE<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> MEDLINE<\/jats:styled-content>, Psyc<jats:styled-content style=\"fixed-case\">INFO<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SCOPUS<\/jats:styled-content> databases; without limitation on language or publication year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Randomised or non\u2010randomised studies evaluating interventions to enhance maternal awareness of decreased fetal movement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>Two authors independently extracted data and assessed quality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>We included 23 publications from 16 studies of fair to poor quality. We were unable to pool results due to substantial heterogeneity between studies. Three randomised controlled trials (<jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>s) and five non\u2010randomised studies (<jats:styled-content style=\"fixed-case\">NRS<\/jats:styled-content>s), involving 72\u00a0888 and 115\u00a0435 pregnancies, respectively, assessed effects of interventions on stillbirth and perinatal death. One large cluster <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a068\u00a0654) reported no stillbirth reduction, one <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a03111) reported significant stillbirth reduction, and one <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a01123) was small with no deaths. All <jats:styled-content style=\"fixed-case\">NRS<\/jats:styled-content>s favoured intervention over standard care; three studies (<jats:italic>n<\/jats:italic>\u00a0=\u00a031\u00a0131) reported significant reduction, whereas two studies (<jats:italic>n<\/jats:italic>\u00a0=\u00a084\u00a0304) reported non\u2010significant reductions in stillbirth or perinatal deaths. Promising results from <jats:styled-content style=\"fixed-case\">NRS<\/jats:styled-content>s warrant further research. We found no evidence of increased maternal concern following interventions. No cost\u2010effectiveness data were available.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found no clear evidence of benefit or harm; indirect evidence suggests improved pregnancy and birth outcomes. The optimal approach to support women in monitoring their pregnancies needs to be established. Meanwhile, women need to be informed about the importance of fetal movement for fetal health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>The benefits and risks of interventions to increase pregnant women's awareness of fetal movement are unclear.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.13802","type":"journal-article","created":{"date-parts":[[2015,12,2]],"date-time":"2015-12-02T13:58:58Z","timestamp":1449064738000},"page":"886-898","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Interventions to enhance maternal awareness of decreased fetal movement: a systematic review"],"prefix":"10.1111","volume":"123","author":[{"given":"BA","family":"Winje","sequence":"first","affiliation":[{"name":"Division of Infectious Disease Control Norwegian Institute of Public Health Oslo 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