DESCRIPTION OF TOPIC:
Introduction Fetal movements are an indicator of fetal well-being, and any reduction or change may signal potential complications, including stillbirth. Women's awareness and timely reporting of reduced fetal movements can prompt clinical action and potentially prevent adverse outcomes. However, disparities in health literacy, language proficiency, and advice may impact women's ability to recognize and act on these warning signs. Aim: This study aims to evaluate the association between the frequency of fetal movements advice given to pregnant women who require an interpreter and those who do not require an interpreter, and their subsequent hospital attendance for reduced fetal movements. It also examines whether fetal movement advice is provided in the woman's preferred language. Study design: A retrospective cohort study was conducted at a single maternity hospital in West London, known for its ethnic diversity. This study reviewed the records of 3,773 women who booked their pregnancy and gave birth at term (≥37 weeks of gestation) between 1st January 2024 and 30th May 2025. The study compared the cohort of women who required an interpreter with the cohort of women who did not require an interpreter. Findings: A clear correlation was observed between fetal movement discussions and reduced fetal movement attendance among women who did not require an interpreter. This association was less consistent among women who require an interpreter, due to fewer fetal movement discussions being recorded, particularly where interpreter services were provided. Conclusion: This study demonstrates that women who require an interpreter continue to face unequal access to maternity services compared with women who do not require an interpreter.

RELEVANCE TO MIDWIFERY:
To ensure the success of a growing global midwifery workforce, providing information in the women's preferred language must become a fundamental component of safe, inclusive maternity care. Leadership 1 (including three-minute presentation competition)