RFM

Question 1

Timing of movements

Answer 1

Start at 20 weeks
Plateau at 32 weeks

If no movements at all by 24weeks- refer to FM

Question 2

Factors that affect FM

Answer 2

Placenta location
Sitting, standing etc
Drugs- benzos, opiods
Smoking- dec movements
Steroids- for 2 days
Fetal position

Question 3

Mx of RFM

Answer 3

Check FH
CTG if >28 weeks
Check RF for SB
Scan- if still not feeling movements or RF for SB

70% women have normal outcome if 1xRFM