Number of episodes of reduced fetal movement at term: association with adverse perinatal outcome

作者: Carolina Scala , Amar Bhide , Alessandra Familiari , Giorgio Pagani , Asma Khalil

DOI: 10.1016/J.AJOG.2015.07.015

关键词:

摘要: Objective The aims of this study were evaluation the association reduced fetal movements (RFM) and small-for-gestational-age (SGA) birth at term to explore if maternal outcomes are different with single vs repeated episodes RFM normal assessment test results. Study Design This was a retrospective cohort all singleton pregnancies referred for RFMs tertiary medicine unit from January 2008 through September 2014. Ultrasound Doppler indices obtained computerized ultrasound database pregnancy outcome collected hospital records. Results Of 21,944 women booked maternity care during period, 1234 (5.62%) reported >36+0 weeks. these, 1029 (83.4%) episode 205 (16.6%) had ≥2 presentations RFM. Women significantly higher mean uterine artery pulsatility index in second trimester. prevalence SGA baby presenting as compared 9.8% 44.2%, respectively (odds ratio, 7.3; 95% confidence interval, 5.1–10.4; P Conclusion Repeated more likely occur high second-trimester resistance strongly associated infants. should be treated being risk placental dysfunction irrespective results prenatal assessment.

参考文章(30)
Lucy Kean, Toby Fay, Evangelos Alexopoulos, David Liu, Savvas Efkarpidis, Case-control study of factors associated with intrauterine fetal deaths. MedGenMed : Medscape general medicine. ,vol. 6, pp. 53- ,(2004)
Clinical Excellence, Antenatal care : routine care for the healthy pregnant woman RCOG Press. ,(2008)
C. Iacovella, M. Franchi, M. Egbor, A. Bhide, B. Thilaganathan, Relationship of first-trimester uterine artery Doppler to late stillbirth Prenatal Diagnosis. ,vol. 32, pp. 557- 561 ,(2012) , 10.1002/PD.3855
Asma Khalil, Aris Papageourgiou, Amar Bhide, Francesco D'Antonio, Claudia Rijo, Basky Thilaganathan, Ranjit Akolekar, Association between first-trimester maternal serum pregnancy-associated plasma protein-A and obstetric complications. Prenatal Diagnosis. ,vol. 33, pp. 839- 847 ,(2013) , 10.1002/PD.4141
G. Pagani, F. D'Antonio, A. Khalil, R. Akolekar, A. Papageorghiou, A. Bhide, B. Thilaganathan, Association between reduced fetal movements at term and abnormal uterine artery Doppler indices. Ultrasound in Obstetrics & Gynecology. ,vol. 43, pp. 548- 552 ,(2014) , 10.1002/UOG.13220
L E HIGGINS, E D JOHNSTONE, A E P HEAZELL, Management of Reduced Fetal Movements Fetal and Maternal Medicine Review. ,vol. 24, pp. 201- 231 ,(2013) , 10.1017/S096553951300017X
J. Frederik Frøen, Alexander E.P. Heazell, Julie Victoria Holm Tveit, Eli Saastad, Ruth C. Fretts, Vicki Flenady, Fetal movement assessment. Seminars in Perinatology. ,vol. 32, pp. 243- 246 ,(2008) , 10.1053/J.SEMPERI.2008.04.004
Lynne K. Warrander, Gauri Batra, Giovanna Bernatavicius, Susan L. Greenwood, Philip Dutton, Rebecca L. Jones, Colin P. Sibley, Alexander E. P. Heazell, Maternal Perception of Reduced Fetal Movements Is Associated with Altered Placental Structure and Function PLoS ONE. ,vol. 7, pp. e34851- ,(2012) , 10.1371/JOURNAL.PONE.0034851
F. Sergent, A. Lefèvre, E. Verspyck, L. Marpeau, Diminution des mouvements actifs du fœtus au troisième trimestre : que faire ? Gynecologie Obstetrique & Fertilite. ,vol. 33, pp. 861- 869 ,(2005) , 10.1016/J.GYOBFE.2005.07.041
Arwa Abbas Hussain, Mohammad Yawar Yakoob, Aamer Imdad, Zulfiqar A Bhutta, Elective induction for pregnancies at or beyond 41 weeks of gestation and its impact on stillbirths: a systematic review with meta-analysis BMC Public Health. ,vol. 11, pp. 1- 12 ,(2011) , 10.1186/1471-2458-11-S3-S5