Document Detail

What investigation is appropriate following maternal perception of reduced fetal movements?
MedLine Citation:
PMID:  16263536     Owner:  NLM     Status:  MEDLINE    
It has been proposed that maternal perception of reduced fetal movements may be indicative of placental insufficiency, and that women who present with reduced fetal movements should be investigated for evidence of placental insufficiency. A retrospective case notes-based analysis of patients presenting with reduced fetal movements was undertaken. There were 92 live-born infants, the mean gestation at delivery was 39(+4) weeks. The median birth weight was 3,140 g. A total of 29.1% of infants had a birth weight of less than the 10th centile. A total of 35 women underwent ultrasound assessment of fetal growth and liquor volume. Measurement of symphyseal fundal height (SFH) had a greater specificity than a single ultrasound assessment in the prediction of IUGR at delivery. To reduce unnecessary intervention, SFH measurement may be used as a screening tool for those who merit ultrasound assessment of growth and umbilical artery Doppler.
A E P Heazell; G M Sumathi; N R Bhatti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  25     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-11-02     Completed Date:  2006-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  648-50     Citation Subset:  IM    
Maternal and Fetal Health Research Centre, St Mary's Hospital, Manchester, UK.
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MeSH Terms
Birth Weight
Case-Control Studies
Cohort Studies
Fetal Development / physiology
Fetal Growth Retardation / ultrasonography*
Fetal Movement / physiology*
Gestational Age
Infant, Newborn
Mother-Child Relations
Placental Circulation
Placental Insufficiency / ultrasonography*
Predictive Value of Tests
Pregnancy Outcome
Risk Assessment
Sensitivity and Specificity
Ultrasonography, Prenatal*

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

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