The study aimed to investigate whether cesarean sections and labor induction increase by raising women's awareness of fetal movements through Mindfetalness. Further, we aimed to study perinatal health after implementing Mindfetalness in maternity care. Findings suggest that raising awareness about fetal movements through Mindfetalness decreased the rate of cesarean sections, labor inductions and small-for-gestational age babies.


  1. Flenady V, Ellwood D, Bradford B, Coory M, Middleton P, Gardener G, et al. Beyond the headlines: fetal movement awareness is an important stillbirth prevention strategy. Women Birth. 2019;32(1):1–2. doi: 10.1016/j.wombi.2018.12.001

  2. Walker KF, Thornton JG. Encouraging awareness of fetal movements is harmful. Lancet. 2018;392(10158):1601–1602. doi: 10.1016/S0140-6736(18)31720-3. 

  3. Norman JE, Heazell AEP, Rodriguez A, Weir CJ, Stock SJE, Calderwood CJ, et al. Awareness of fetal movements and care package to reduce fetal mortality (AFFIRM): a stepped wedge, cluster-randomised trial. Lancet. 2018;392:1629. doi: 10.1016/S0140-6736(18)31543-5. 


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