Document Detail


Concerns for decreased foetal movements in uncomplicated pregnancies--increased risk of foetal growth restriction and stillbirth among women being overweight, advanced age or smoking.
MedLine Citation:
PMID:  20476880     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: We aimed to determine whether the clinical characteristics of women in uncomplicated pregnancies presenting with decreased foetal movements (DFMs) would help target subgroups of women at the highest risk. Furthermore, we also aimed whether DFMs in complicated pregnancies identified the additional needs for intensified management.
METHODS: Singleton third trimester pregnancies (n=2374) presenting with DFMs from June 2004 through October 2005 were prospectively registered in 14 delivery units in Norway. Among pregnancies that were uncomplicated until registration for DFMs, cases with good outcomes (birth weight between 10th and 90th percentile, term delivery and live-born child) were compared with cases with adverse outcomes.
RESULTS: In uncomplicated pregnancies, maternal overweight, advanced age and smoking identified subgroups of cases at increased risk of foetal growth restriction and stillbirth. DFMs of longer duration, in particular the perceived absence of movements, identified cases at increased risk of stillbirth, irrespective of other maternal characteristics. When women with complicated pregnancies reported DFMs, additional indications for follow-up were found in 1/3 of cases.
CONCLUSIONS: Maternal overweight, advanced age, smoking and the duration of DFMs are the characteristics that help in identifying pregnancies that should be targeted for intensified management. Time matters and knowledge-based information are needed to improve foetal health.
Authors:
Julie V H Tveit; Eli Saastad; Babill Stray-Pedersen; Per E Børdahl; Jahn F Frøen
Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  23     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1129-35     Citation Subset:  IM    
Affiliation:
Division of Obstetrics and Gynecology and Center for Perinatal Research, Medical Faculty, Rikshospitalet University Hospital, University of Oslo, Oslo, Norway. julievh@medisin.uio.no
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Female
Fetal Growth Retardation / etiology*
Fetal Movement*
Humans
Maternal Age
Odds Ratio
Overweight / complications*
Pregnancy
Pregnancy Complications*
Pregnancy Trimester, Third
Premature Birth
Prospective Studies
Risk Factors
Smoking / adverse effects*
Stillbirth*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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