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Implications for practice and research
■ Maternal perception of an active fetus and fetal hiccups is associated with reduced likelihood of late stillbirth.
■ A sudden change in maternally perceived fetal activity, particularly reduced fetal movements (RFM), is associated with late stillbirth and women should be encouraged to seek advice if this occurs.
■ Research is needed to examine the possible link between a single period of vigorous fetal activity and risk of late stillbirth.
■ The relationship between fetal hiccups, fetal breathing movements and their loss in compromised fetuses merits deeper exploration.
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