Document Detail

Maternal characteristics and pregnancy outcomes in women presenting with decreased fetal movements in late pregnancy.
MedLine Citation:
PMID:  19878088     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: 'Normal' fetal activity is recognized as a sign of fetal well-being and concerns for decreased fetal movements is a frequent cause of non-scheduled antenatal visits. The aim of this study was to identify maternal characteristics in women presenting decreased fetal movements in a total population, to identify the risk of adverse outcomes and assess the management provided. DESIGN: Prospective population-based cohort. SETTING: Fourteen delivery units in Norway. POPULATION: A total of 2,374 pregnancies presenting with a perception of decreased fetal movements and 614 control/referent cases. METHODS: All singleton third trimester pregnancies presenting with a perception of decreased fetal movements were registered from June 2004 through October 2005. Pregnancies never examined for this condition were collected as a cross-sectional sample from the same population. Main outcome measures. Fetal growth restriction, preterm birth and stillbirth. RESULTS: Mothers with decreased fetal movements were more often smokers, overweight and primiparous. Of the women, 32% presented with perceived absence of fetal movements, of whom 25% waited for more than 24 hours without any movements. Abnormal findings were identified in 16% of examinations. Decreased fetal movements were associated with adverse pregnancy outcome in 26%, including preterm birth and fetal growth restriction. An intervention or repeated consultations were performed in 41% of cases, including 14% admissions to maternity ward. None of the included hospitals had written guidelines for management. CONCLUSIONS: A perception of decreased fetal movements is significantly associated with adverse pregnancy outcome such as preterm birth, fetal growth restriction and stillbirth. Guidelines for management and information to pregnant women are needed.
Julie Victoria Holm Tveit; Eli Saastad; Babill Stray-Pedersen; Per E B??rdahl; J Frederik Fr??en
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  88     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2009  
Date Detail:
Created Date:  2009-12-07     Completed Date:  2010-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  1345-51     Citation Subset:  IM    
Division of Obstetrics and Gynecology, and Centre for Perinatal Research, Rikshospitalet University Hospital, and University of Oslo, Medical Faculty, Norway.
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MeSH Terms
Cohort Studies
Cross-Sectional Studies
Fetal Growth Retardation / physiopathology*
Fetal Movement / physiology*
Infant, Newborn
Logistic Models
Pregnancy Outcome
Pregnancy Trimester, Third
Premature Birth / physiopathology*
Prospective Studies

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