ODOBGYNDECODED

← All presentations

Reduced fetal movements

Bleeding in pregnancyAbdominal pain in pregnancyReduced fetal movementsHeadache + high BP in pregnancy/postpartumFever in pregnancy/postpartumDyspnoea in pregnancyVaginal discharge / cervicitisAcute pelvic pain (non-pregnant)Postmenopausal bleedingInfertility evaluation
Immediate red flags:
  • Abnormal CTG
  • Absent heartbeat on US
  • Maternal hypertension symptoms
Urgent workup:
  • Immediate CTG
  • US growth/fluid/Doppler

Structured differential — act in priority order

PriorityConditionKey featuresAction
CANNOT MISS
Silent FGR
EFW<10th + abnormal Doppler
FGR pathway →
COMMON
Normal variation/sleep cycle
All surveillance normal
Education + return rules →
CONSIDER
Impending abruption/hypertension
BP/proteinuria trends
HDP screen

First moves

  1. Never telephone-reassure second episodes