Management of decreased fetal movements

Froen, J. Frederik, Tveit, Julie Victoria Holm, Saastad, Eli, Bordahl, Per E., Stray-Pedersen, Babill, Heazell, Alexander E. P., Flenady, Vicki and Fretts, Ruth C. (2008) Management of decreased fetal movements. Seminars in Perinatology, 32 4: 307-311. doi:10.1053/j.semperi.2008.04.015


Author Froen, J. Frederik
Tveit, Julie Victoria Holm
Saastad, Eli
Bordahl, Per E.
Stray-Pedersen, Babill
Heazell, Alexander E. P.
Flenady, Vicki
Fretts, Ruth C.
Title Management of decreased fetal movements
Journal name Seminars in Perinatology   Check publisher's open access policy
ISSN 0146-0005
1558-075X
Publication date 2008-08
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1053/j.semperi.2008.04.015
Open Access Status Not yet assessed
Volume 32
Issue 4
Start page 307
End page 311
Total pages 5
Place of publication Maryland Heights, MO, United States
Publisher W. B. Saunders
Language eng
Abstract Maternal perception of decreased fetal activity is a common complaint, and one of the most frequent causes of unplanned visits in pregnancy. No proposed definitions of decreased fetal movements have ever been proven to be superior to a subjective maternal perception in terms of identifying a population at risk. Women presenting with decreased fetal movements do have higher risk of stillbirth, fetal growth restriction, fetal distress, preterm birth, and other associated outcomes. Yet, little research has been conducted to identify optimal management, and no randomized controlled trials have been performed. The strong associations with adverse outcome suggest that adequate management should include the exclusion of both acute and chronic conditions associated with decreased fetal movements. We propose guidelines for management of decreased fetal movements that include both a nonstress test and an ultrasound scan and report findings in 3014 cases of decreased fetal movements.
Keyword Decreased fetal movements
Fetal distress
Fetal growth restriction
Guidelines
Management
Stillbirth
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
 
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