TY - JOUR
T1 - Reduced fetal movement
T2 - Factors affecting maternal perception
AU - Mohr Sasson, Aya
AU - Tsur, Abraham
AU - Kalter, Anat
AU - Weissmann Brenner, Alina
AU - Gindes, Liat
AU - Weisz, Boaz
N1 - Publisher Copyright:
© 2015 Informa UK Ltd.
PY - 2016/4/17
Y1 - 2016/4/17
N2 - Objective: Evaluate physiologic factors associated with reduced maternal perception of fetal movements (RFM).Methods: A historical cohort study of all women (years 2011-2013, n = 399) that visited the maternal emergency room (ER) (gestational age 24 + 0-42 + 0) due to RFM (group A), that was compared to a control group consisted from women with normal perception of fetal movements (group B). Groups were compared for maternal characteristics (age, gravity, parity, BMI), gestational age, placental location, gestational age at birth and fetal outcomes (birth-weight and Apgar scores).Results: In a multivariate regression analysis, including maternal age, height, weight, BMI, gestational age on admission to ER, gravity, parity and placental location, only two variables remained significantly associated with RFM-nulliparity (OR = 2.28, p = 0.001) and anterior placenta (OR = 1.44, p = 0.034). Group A was not associated with lower Apgar scores (1 and 5-min, p = 0.40 and 0.57, respectively) or low birth-weight (p = 0.76), nor was it associated with prematurity (p = 0.41), low (<7) 5-min Apgar score, fetal death or neonatal death.Conclusions: Reduced fetal movements are associated with anterior placenta and nulliparity.
AB - Objective: Evaluate physiologic factors associated with reduced maternal perception of fetal movements (RFM).Methods: A historical cohort study of all women (years 2011-2013, n = 399) that visited the maternal emergency room (ER) (gestational age 24 + 0-42 + 0) due to RFM (group A), that was compared to a control group consisted from women with normal perception of fetal movements (group B). Groups were compared for maternal characteristics (age, gravity, parity, BMI), gestational age, placental location, gestational age at birth and fetal outcomes (birth-weight and Apgar scores).Results: In a multivariate regression analysis, including maternal age, height, weight, BMI, gestational age on admission to ER, gravity, parity and placental location, only two variables remained significantly associated with RFM-nulliparity (OR = 2.28, p = 0.001) and anterior placenta (OR = 1.44, p = 0.034). Group A was not associated with lower Apgar scores (1 and 5-min, p = 0.40 and 0.57, respectively) or low birth-weight (p = 0.76), nor was it associated with prematurity (p = 0.41), low (<7) 5-min Apgar score, fetal death or neonatal death.Conclusions: Reduced fetal movements are associated with anterior placenta and nulliparity.
UR - http://www.scopus.com/inward/record.url?scp=84955302520&partnerID=8YFLogxK
U2 - 10.3109/14767058.2015.1047335
DO - 10.3109/14767058.2015.1047335
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C2 - 26177055
AN - SCOPUS:84955302520
SN - 1476-7058
VL - 29
SP - 1318
EP - 1321
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
IS - 8
ER -