24 October 2016
This new campaign, which is led by Tommy’s and supported by Kicks Count and NHS England, uses a simple friendly animated film to challenge dangerous myths about fetal movement, such as that babies move less in third trimester due to lack of space.
The most current recommendations are that women should monitor their baby's pattern of movements from week 16-24 right up to when they give birth, and report any reduction in movements promptly.
Although this knowledge could save their babies' lives many women are still not aware of it. Worse, incorrect myths are still prevalent, such as:
- Baby movements slow down in the third trimester due to lack of space.
- A certain amount of kicks is fine.
- I can mention it at my next appointment.
- I can’t be checked at the weekend or outside 9-5.
- I can use a home Doppler for reassurance.
Women also hold back from reporting reduced movement due to fear about 'wasting time' or 'being a nuisance'.
Survey shows that women are not fully aware of the facts
A recent Tommy’s survey of 1,318 pregnant women has found that only 15% of respondents know how to monitor fetal movement during pregnancy.
In June 2016, Tommy’s conducted a survey in partnership with the Bounty Word of Mum panel, of 1,318 respondents, all of whom were pregnant women. The survey included a number of questions about baby movements, including: when they first felt their baby move; what they would do if they felt their baby moving less; and what would prevent them from calling the midwife. The findings are concerning.
Although 95% of pregnant women are aware that baby’s movements are important:
- 85% were unaware of how much movement they should be watching for.
- only half of women would call a midwife promptly on noticing reduced movement
- a massive 73% would delay asking for help and try to do something to make the baby move
- more than half (52%) would avoid calling the midwife/hospital due to worry about ‘wasting time’ or ‘being a nuisance’.
A baby moving during pregnancy can be anything from a flutter, kick, swish or roll and these are a sign that baby is well. When a baby is unwell, they may conserve energy by slowing down their movements. If this symptom is reported promptly there is a window of opportunity in which the baby’s life may be saved.
The link between stillbirth and a reduction in movements is clear
The link between reduced baby movements and stilbirth is clear. A report into stillbirth has shown that 55% of women who had a stillbirth noticed their baby’s movements had slowed down or stopped.
Yet it is common for women to wait for up to two days before reporting a reduction to their midwife or doctor because there is a lack of awareness of the importance of reporting it. Stillbirth rates are shockingly high – in 2014 the UK ranked 24th out of 49 high-income countries. For every 220 babies born in the UK, one is stillborn. This means that more than 3,200 families go home without their newborn baby, every year.
Raising awareness amongst pregnant women of the importance of monitoring the movement of their unborn baby and reporting reduction in movement allows timely clinical intervention to save the baby’s life. A Norwegian study alerting women to seek help with reduced fetal movements, has shown a reduction of a third in stillbirth rates
Jane Brewin, CEO of Tommy’s said; "There are no set number of movements a woman should feel, what is important is that she knows what feels normal for her and her baby. It is not true that babies move less often towards the end of pregnancy, a woman should feel their baby move right up to the time of labour, and during labour too. We urge women to never hesitate to contact their midwife or maternity unit for advice, no matter how many times this happens."
Amy Horwood, 28 from Bath, had a stillborn son, George at 31 weeks. She says “I’ve had lots of counselling and the biggest thing for me was forgiving myself for not knowing enough about fetal movement. I felt it was my fault George had died and the guilt was overwhelming. I thought that once you got beyond that first 12 weeks everything would be okay. I miss George all the time and life is still full of ‘What ifs?’ but I’m trying to channel that grief, that loss into something positive. For me, encouraging other women to be more aware of fetal movement, is George’s legacy.”
Dr Matthew Jolly, National Clinical Director for Maternity and Women’s Health at NHS England, said: “It’s crucial that women and their partners feel informed and empowered when monitoring their baby’s movement, acting immediately to seek advice if they are concerned. Raising awareness of the importance of fetal movement through access to clear, consistent advice is key in helping reduce the number of stillbirths.”
Elizabeth Hutton, CEO of Kicks Count, said: “It’s vitally important that expectant mums are aware of current recommendations on how and why to monitor their baby’s movements. This is something which Kicks Count has been raising awareness of since we launched in 2009. Things are improving slowly but there are still many myths in circulation such as ‘a baby will run out of room to move as they grow larger’, that are still commonly believed across the UK and are quite simply wrong. Now is the time for change. We encourage mums to trust their instincts and speak to a midwife whenever they feel that their baby’s movements have changed or if they are worried about any change during pregnancy”
- The Movement Matters campaign animation is available to watch here
- The campaign hashtags are #movementsmatter and #kickmebabyonemoretime
- The survey was conducted in partnership with Bounty, the pregnancy and baby information website
- A total of 1,318 women responded to the survey
- Jane Brewin, CEO of Tommy’s is available for interview
- Dr Alexander Heazell, Clinical Director of Tommy’s Stillbirth Research Centre at St Mary’s Hospital, Manchester, is available for interview
- Women who are happy to share their personal experiences include Theresa Richardson, 30, from Aberdeen; Camilla Crippen, 29, from London and Amy Horwood, 28, from Bath
- All video assets and images are available for use. Please contact Hannah Blake.
- Read more about the NHS England Stillbirth Care Bundle
For more information about Tommy’s Reduced Fetal Movement campaign please contact the press office on 0207 398 3436 or email [email protected]
Watch the campaign film
Frankie's first pregnancy was low risk, largely problem free. At 38 weeks and 2 days, Frankie experienced reduced movements and sadly baby Esme was stillborn. With small children in her wider family, Frankie turned to books to try and explain the tragic loss of Esme - but couldn't find anything suitable. It was then that she created the beautifully illustrated book 'These Precious Little People', for families affected by the death of a baby.
Are you worried about your baby’s reduced movements? This leaflet outlines the care that you should expect to receive, depending on which stage of the pregnancy you are at.
Our #movementsmatter campaign, launched on 24 October, challenges dangerous myths about baby movement during pregnancy, and urges mums-to-be to follow current recommendations about what to do when they experience a change in their baby's movements.
It's concerning to see mobile apps that claim to monitor your baby’s heartbeat being promoted in the press
An Evening Standard piece promoting mobile apps for mums-to-be shows why greater awareness about reduced fetal movements is needed.