PERINATAL OUTCOME IN WOMEN PRESENTING WITH REDUCED FOETAL MOVEMENT AT TERM
DOI:
https://doi.org/10.55519/JAMC-02-12487Keywords:
Reduced fetal movements (RFM), body mass index (BMI), neonatal intensive care unit (NICU)Abstract
Background: foetal movements are one straightforward indicator of foetal health. The evidence, however, is still insufficient to warrant the inclusion of reduced foetal movements in national recommendations as part of a more comprehensive evaluation. The study objective was to determine perinatal outcome in women presenting with reduced foetal movement at term gestation. Methods: A prospective, observational study was conducted in Hamdard University Hospital Karachi during January 2021 to June 2021, 216 pregnant women with reduced foetal movement at term were recruited from outpatient clinics, wards and labour room triage. Data was collected regarding demographic and clinical features of mothers. Neonatal outcomes were also investigated. Results: Findings of the study revealed that 60.6% women had one episode and 39.4% women had two episodes of reduced foetal movements. 1/4th of the neonates were low birth weight, 1/5th of the babies had Apgar score less than 7 in five minutes, 9.3% neonates had cord around the neck and 1/3rd of the neonates were admitted to the NICU. Chi square test of association revealed that maternal factors such as maternal age, BMI, gravidity were significantly associated with reduced foetal movements. foetal outcomes such as NICU admission and presence of meconium were significantly associated. Conclusion: The present study analyzed that Episodes of RFM were significantly associated with age, BMI, gravidity of mother. RFM episodes was associated with increased risk of cord around neck among neonates of mother with repeated RFM episodes whereas NICU likelihood was higher among neonates of mother with single RFM episode.References
Hug L, Mishra A, Lee S, You D, Moran A, Strong KL, et al. A neglected tragedy the global burden of stillbirths: New York: United Nations Children’s Fund; 2020.
Campbell HE, Kurinczuk JJ, Heazell AEP, Leal J, Rivero-Arias O. Healthcare and wider societal implications of stillbirth: a population-based cost-of-illness study. BJOG 2018;125(2):108–17
Camacho EM, Whyte S, Stock SJ, Weir CJ, Norman JE, Heazell AEP. Awareness of foetal movements and care package to reduce foetal mortality (AFFIRM): a trial-based and model-based cost-effectiveness analysis from a stepped wedge, cluster-randomised trial. BMC Pregnancy Childbirth 2022;22(1):235.
England NH. Saving Babies’ Lives version two: a care bundle for reducing perinatal mortality. NHS England. 2019.
Huecker BR, Jamil RT, Thistle J. foetal Movement. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. [cited 2023 Feb 5]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470566/
TerKuile M, Erwich JJ, Heazell AE. Stillbirths preceded by reduced foetal movements are more frequently associated with placental insufficiency: A retrospective cohort study. J Perinat Med 2022;50(6):668–77.
Bradford BF, Cronin RS, Warland J, Akselsson A, Rådestad I, Heazell AE, et al. foetal movements: A framework for antenatal conversations. Women Birth 2023;36(3):238–46.
Holm Tveit JV, Saastad E, Stray‐Pedersen BA, Børdahl PE, Frøen JF. Maternal characteristics and pregnancy outcomes in women presenting with decreased foetal movements in late pregnancy. Acta Obstet Gynecol Scand 2009;88(12):1345–51.
Frøen JF, Heazell AE, Tveit JV, Saastad E, Fretts RC, Flenady V. foetal movement assessment. Semin Perinatol 2008;32(4):243–6.
Backe B, Pay AS, Klovning A, Sand S. Antenatal care. Diaksespada. 2016.
Burrows PE, Mason KP. Percutaneous treatment of low flow vascular malformations. J Vasc Int Radiol 2004;15(5):431–45.
Sterpu I, Pilo C, Koistinen IS, Lindqvist PG, Gemzell‐Danielsson K, Itzel EW. Risk factors for poor neonatal outcome in pregnancies with decreased foetal movements. Acta Obstet Gynecol Scand 2020;99(8):1014–21.
Norman JE, Heazell AE, Rodriguez A, Weir CJ, Stock SJ, Calderwood CJ, et al. Awareness of foetal movements and care package to reduce foetal mortality (AFFIRM): a stepped wedge, cluster-randomised trial. Lancet 2018;392(10158):1629–38.
McCarthy CM, Meaney S, O'Donoghue K. Perinatal outcomes of reduced foetal movements: a cohort study. BMC Pregnancy Childbirth. 2016;16(1):169.
Olagbuji BN, Igbarumah S, Akintayo AA, OlofinbiyiBA, Aduloju PO, Alao OO. Maternal understandingof foetal movement in third trimester: A means for foetal monitoring and reducing stillbirth. Nigerian J Clin Pract 2014;17(4):489–94.
Bradford B, Cronin R, McKinlay C, Thompson J, McCowan L. Maternally perceived foetal movement patterns: The influence of body mass index. Early Hum Dev 2020;140:104922.
Bradford BF, Thompson JMD, Heazell AEP, Mccowan LME, McKinlay CJD. Understanding the associations and significance of foetal movements in overweight or obese pregnant women: a systematic review. Acta Obstet Gynecol Scand 2018;97(1):13–24.
Scala C, Bhide A, Familiari A, Pagani G, Khalil A, Papageorghiou A, et al. Number of episodes of reduced foetal movement at term: association with adverse perinatal outcome. Am J Obstet Gynecol 2015;213(5):678.e1–6.
Dutton PJ, Warrander LK, Roberts SA, Bernatavicius G, Byrd LM, Gaze D, et al. Predictors of poor perinatal outcome following maternal perception of reduced foetal movements--a prospective cohort study. PLoS One 2012;7(7):e39784.
Podili PR, Pallavee P, Samal R, Ghose S. Pregnancy outcomes in women presenting with single versus multiple episodes of reduced foetal movements: A prospective observational study. Indian J Obstet Gynecol Res 2023;8(3):356–62.
Bhatia M, Mitsi V, Court L, Thampi P, El-Nasharty M, Hesham S, et al. The outcomes of pregnancies with reduced foetal movements: A retrospective cohort study. Acta Obstet Gynecol Scand 2019;98(11):1450–4.
Huang C, Han W, Fan Y. Correlation between increased foetal movements during the third trimester and neonatal outcome. BMC Pregnancy Childbirth 2019;19(1):467.
TerKuile M, Erwich JJ, Heazell AE. Stillbirths preceded by reduced foetal movements are more frequently associated with placental insufficiency: A retrospective cohort study. J Perinat Med 2022;50(6):668–77.
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