(Abstracted from Lancet 2018;392:1629–1638)
Two to 6 million pregnancies were estimated to have ended in stillbirth in 2015. The aim of the AFFIRM study was to test the hypothesis that introduction of a reduced fetal movement care package for pregnant women and clinicians that increased women's awareness of the need for prompt reporting of RFM and that standardized management, including timely delivery, would alter the incidence of stillbirth.
Tommy's Centre for Maternal and Fetal Health, MRC Centre for Reproductive Health, Queen's Medical Research Institute, University of Edinburgh, Edinburgh (J.E.N., S.J.E.S., S.W.); Tommy's Maternal and Fetal Health Research Centre, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester (A.E.P.H.); St Mary's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre (A.E.P.H.), Manchester; Centre for Population Health Sciences, Usher Institute of Population Health, Sciences and Informatics, University of Edinburgh (A.R., C.J.W., S.C.B.); The Scottish Government (C.J.C.), Edinburgh, United Kingdom; Global Health Cluster, Division for Health Services, Norwegian Institute of Public Health, Oslo, Norway (J.F.F.); Rotunda Hospital, Dublin, Ireland (M.G., F.B.); Centre for Fetal Medicine, Royal Maternity Hospital, Belfast, United Kingdom (A.H.); UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland (F.M.M., M.F.H.); Department of Neonatology, Royal Infirmary of Edinburgh, NHS Lothian (E.M.); Royal College of Midwives (M.R.-D.), Edinburgh; and Sands, Victoria Charity Centre, London (J.S.), United Kingdom