Epidemiology of Fetal and Neonatal Death

Flenady, Vicki; Sexton, Jessica

doi:10.1007/978-3-030-84168-3_6

Cited by 1 publication

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“…Adverse perinatal outcomes are the main causes of neonatal mortality and morbidity. It is estimated that 2.5 million late gestation stillbirths and 3 million neonatal deaths occur globally each year [1]. Moreover, over 40% of all stillbirths that happen during labor and delivery could have been prevented with improved fetal monitoring and access to emergency obstetric care when needed [2].…”

Section: Introductionmentioning

confidence: 99%

The association between increased fetal movements in the third trimester and perinatal outcomes; a systematic review and meta-analysis

Hantoushzadeh,

Gargari,

Jamali

et al. 2024

BMC Pregnancy Childbirth

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Background Fetal movement monitoring is one of the strategies used to assess the fetus’s health. Until now, most studies focused on the decreased fetal movement and neonatal outcome, although this systematic review and meta-analysis is designed to assess the association between increased fetal movements (IFM) with perinatal outcomes. Method The electronic databases including PubMed, Scopus, Web of Science, and EMBASE were systematically searched for studies investigating the perinatal outcome of women with increased fetal movements from inception to July 2023. Following that, a random-effect meta-analysis model was used to obtain the combined diagnostic and predictive parameters including perinatal mortality (still birth and early neonatal mortality), operative delivery, Apgar score, neonatal resuscitation at birth and NICU Admission. Results After the initial screening, seven studies examining the association between increased third trimester fetal movement and various perinatal outcomes were included. Meta-analysis revealed a significant reduction in the risk of cesarean delivery among patients with IFM compared to controls, suggesting a potential protective effect during childbirth. However, no statistically significant difference was observed in birth weight, small or large for gestational age births, neonatal intensive care unit admission, maternal age, umbilical cord around the neck, gestational diabetes mellitus, and hypertension, indicating that IFM may not be a major predictor of adverse perinatal outcomes or maternal conditions. Notably, IFM was significantly associated with a higher likelihood of labor induction. Conclusion The findings suggest that IFM may have a protective effect against cesarean delivery. Additionally, IFM does not appear to be significantly associated with maternal age, umbilical cord around the neck, gestational diabetes mellitus and hypertension. However, the observed significant association with labor induction warrants further investigation.

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Section: Introductionmentioning

confidence: 99%