Document Detail


Maternal perception of fetal activity and late stillbirth risk: findings from the Auckland Stillbirth Study.
MedLine Citation:
PMID:  22112331     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND:   Maternal perception of decreased fetal movements has been associated with adverse pregnancy outcomes, including stillbirth. Little is known about other aspects of perceived fetal activity. The objective of this study was to explore the relationship between maternal perception of fetal activity and late stillbirth (≥28 wk gestation) risk.
METHODS:   Participants were women with a singleton, late stillbirth without congenital abnormality, born between July 2006 and June 2009 in Auckland, New Zealand. Two control women with ongoing pregnancies were randomly selected at the same gestation at which the stillbirth occurred. Detailed demographic and fetal movement data were collected by way of interview in the first few weeks after the stillbirth, or at the equivalent gestation for control women.
RESULTS:   A total of 155/215 (72%) women who experienced a stillbirth and 310/429 (72%) control group women consented to participate in the study. Maternal perception of increased strength and frequency of fetal movements, fetal hiccups, and frequent vigorous fetal activity were all associated with a reduced risk of late stillbirth. In contrast, perception of decreased strength of fetal movement was associated with a more than twofold increased risk of late stillbirth (aOR: 2.37; 95% CI: 1.29-4.35). A single episode of vigorous fetal activity was associated with an almost sevenfold increase in late stillbirth risk (aOR: 6.81; 95% CI: 3.01-15.41) compared with no unusually vigorous activity.
CONCLUSIONS:   Our study suggests that maternal perception of increasing fetal activity throughout the last 3 months of pregnancy is a sign of fetal well-being, whereas perception of reduced fetal movements is associated with increased risk of late stillbirth.
Authors:
Tomasina Stacey; John M D Thompson; Edwin A Mitchell; Alec Ekeroma; Jane Zuccollo; Lesley M E McCowan
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-09-06
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  38     ISSN:  1523-536X     ISO Abbreviation:  Birth     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-24     Completed Date:  2012-06-20     Revised Date:  2012-11-20    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  311-6     Citation Subset:  IM    
Copyright Information:
© 2011, Copyright the Authors. Journal compilation © 2011, Wiley Periodicals, Inc.
Affiliation:
Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand.
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MeSH Terms
Descriptor/Qualifier:
Case-Control Studies
Female
Fetal Movement*
Hiccup
Humans
Logistic Models
New Zealand
Odds Ratio
Perception
Pregnancy
Pregnancy Trimester, Third*
Questionnaires
Risk
Stillbirth*
Comments/Corrections
Comment In:
Evid Based Nurs. 2012 Oct;15(4):102-3   [PMID:  22504205 ]

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


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