The Definition and the Significance of Decreased Fetal Movements

Sadovsky, E.; Ohel, Gonen; Havazeleth, H.; Steinwell, A.; Penchas, S

doi:10.1097/00006254-198409000-00005

Cited by 12 publications

(19 citation statements)

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“…This method has also been shown to have the highest compliance and acceptance rates [6,35,36]. While three controlled trials (one randomized) of FMC counting versus no counting has suggested benefit in preventing stillbirths [21,[37][38][39], a large cluster multicentred cluster-randomized controlled trial reported by Grant, Valentin, Elbourne & Alexander in 1989 failed to demonstrate the same benefit using a "Kick Chart" for all pregnancies versus only for risk pregnancies [40]. This is the most referred-to and influential publication on maternal counting, and as such is often cited as evidence against FMC [1,28,41].…”

Section: Discussionmentioning

confidence: 99%

“…Smoking during pregnancy has been linked to various adverse outcomes, and the pathophysiological mechanism suggested includes reduced uteroplacental blood flow and fetal hypoxia, which explain the decrease in FM (40 found the same association between DFM and an increased risk of birthweight <2500 g or birth of SGA infants (33).…”

Section: Maternal Reporting Of Dfm In a Total Population And The Riskmentioning

confidence: 96%

“…A common factor in these studies is that the mother is lying down and focusing on fetal activity, which constitutes the only situation in which maternal perception and objective measures of FM are strongly correlated with actual fetal activity. In other settings, both the actual frequency of movements as well as the mother's ability to perceive them are influenced by factors such as activity and exercise (29), anxiety (30), administration of corticosteroids (betamethasone and dexamethasone) (6;31-33), blood sugar (34), intrauterine growth restriction (19;35), maternal position (36), major fetal malformations (37;38), obesity (39), placenta localization (16), smoking (40), sedating drugs (6), stress (41), and sound and vibroacoustic stimulation (42;43). Parity has not been found to affect maternal perception of FM in the third trimester (16).…”

Section: Maternal Perception Of Fm and Factors Influencing The Movemementioning

confidence: 99%

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Maternal characteristics and pregnancy outcomes in women presenting with decreased fetal movements in late pregnancy

Tveit

Saastad

Stray‐Pedersen

et al. 2009

Acta Obstet Gynecol Scand

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Maternal Reporting Of Dfm In a Total Population And The Riskmentioning

confidence: 96%

Section: Maternal Perception Of Fm and Factors Influencing The Movemementioning

confidence: 99%

See 1 more Smart Citation

Maternal characteristics and pregnancy outcomes in women presenting with decreased fetal movements in late pregnancy

Tveit

Saastad

Stray‐Pedersen

et al. 2009

Acta Obstet Gynecol Scand

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“…Evaluation of these five variables showed that fetal movement was the most accurate single indicator of fetal well-being [12,15,18]. Fetal movement is best verified by continuous real time ultrasound observation.…”

Section: Introductionmentioning

confidence: 98%

Combined electronic fetal heart rate and fetal movement monitor — a preliminary report

Schwöbel

Fallenstein²,

Huch³

et al. 1987

Journal of Perinatal Medicine

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“…Perceived decreased fetal movement prior to delivery is associated with abnormal blood arterial gas values and abnormal placental pathology, which is suggestive of placental insufficiency (3)(4)(5). Moreover, decreased fetal movement during pregnancy is associated with adverse pregnancy outcomes such as SGA (small for gestational age), preterm birth related to placental insufficiency and intra-uterine fetal death (6,7). The primary aim of integrating DFM with antenatal care is to decrease stillbirth rates (1).…”

Section: Introductionmentioning

confidence: 99%

Prognostic Significance of Preterm Isolated Decreased Fetal Movement

Karahanoğlu

Altınboğa

Akpınar

et al. 2017

Gynecol Obstet Reprod Med

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OBJECTIVE: Our aim is to evaluate the prognostic significance of isolated, preterm decreased fetal movement following normal initial full diagnostic workup. STUDY DESIGN:A retrospective observational study was conducted at a tertiary centre. The applied protocol was approved by the Medical Research Ethics Department of the hospital where the research was conducted. Obstetrics outcomes of preterm-and term-decreased fetal movement were compared following an initial, normal diagnostic work up. Evaluated outcomes were birth weight, mode of delivery, stillbirth rate, induction of labour, development of gestational hypertension, small for gestational age and oligohydramnios, polyhydramnios during the follow up period. RESULT:Obstetric complications related to placental insufficiency develops more frequently for decreased fetal movement in preterm cases with respect to that of in term cases. Following the diagnosis of decreased fetal movement, pregnancy hypertension occurred in 17% of preterm decreased fetal movement cases and in 4.7% of term decreased fetal movement cases. Fetal growth restriction developed in 6.6% of preterm decreased fetal movement and in 2.3% of term decreased fetal movement. Amniotic fluid abnormalities more frequently developed in preterm decreased fetal movement. CONCLUSION:Following an initial normal diagnostic workup, preterm decreased fetal movement convey a higher risk for the development of pregnancy complications associated with placental insufficiency. The patient should be monitored closely and management protocols must be developed for initial normal diagnostic workups in cases of preterm decreased fetal movement.

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The Definition and the Significance of Decreased Fetal Movements

Cited by 12 publications

References 0 publications

Maternal characteristics and pregnancy outcomes in women presenting with decreased fetal movements in late pregnancy

Maternal characteristics and pregnancy outcomes in women presenting with decreased fetal movements in late pregnancy

Combined electronic fetal heart rate and fetal movement monitor — a preliminary report

Prognostic Significance of Preterm Isolated Decreased Fetal Movement

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