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This informative presentation features Dr. Sharon Dore, principal author, and Clinical Associate Professor at McMaster University. The goal of Guideline No. 441 is the early identification of potential fetal decompensation, allowing for interventions that support fetal well-being, or expedite delivery. Changes around assessment of fundal height, fetal movement, amniotic fluid measurement and fetal health surveillance affect the nursing and medical standards of care, as well as the analysis of medical legal matters.