{
  "schema_version": 1,
  "kind": "condition",
  "id": "reduced-fetal-movements",
  "name": "Reduced fetal movements",
  "category": "acute",
  "sources": "Antenatal Fetal Surveillance - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK537123/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WS99.00 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Reduced fetal movements - disease-level clinical article (reduced-fetal-movements-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1537,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Reduced fetal movements (>24 weeks gestation) is an acute obstetric emergency signaling potential placental insufficiency, fetal distress, or impending intrauterine death. Primary care management requires immediate, same-day transfer to an obstetric unit for cardiotocography (CTG) and ultrasound biophysical profile. Never reassure the mother to wait overnight, drink cold water, or rely on home hand-held Doppler devices.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Reduced fetal movements (>24 weeks gestation) is an acute obstetric emergency signaling potential placental insufficiency, fetal distress, or impending intrauterine death. Primary care management requires immediate, same-day transfer to an obstetric unit for cardiotocography (CTG) and ultrasound biophysical profile. Never reassure the mother to wait overnight, drink cold water, or rely on home hand-held Doppler devices.",
      "cautions": [
        "RED FLAG - Incorrect categorization as chronic condition in metadata: assess urgently and refer.",
        "Reduced fetal movements, especially in the third trimester, require prompt referral for fetal heart rate monitoring or ultrasound to exclude fetal distress.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Decreased fetal activity may precede fetal death by several days, highlighting the critical window for emergency evaluation.",
        "RED FLAG - Fewer than 10 movements perceived within 2 hours using the count-to-10 method is a formal threshold for reduced fetal movement requiring prompt provider contact."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "reduced-fetal-movements"
    }
  ]
}