Maternal perception of fetal activity and late stillbirth risk: findings from the Auckland Stillbirth Study.

@article{Stacey2011MaternalPO,
  title={Maternal perception of fetal activity and late stillbirth risk: findings from the Auckland Stillbirth Study.},
  author={Tomasina Stacey and John M. D. Thompson and Edwin A. Mitchell and Alec J Ekeroma and Jane M Zuccollo and Lesley M. E. McCowan},
  journal={Birth},
  year={2011},
  volume={38 4},
  pages={
          311-6
        }
}
BACKGROUND   Maternal perception of decreased fetal movements has been associated with adverse pregnancy outcomes, including stillbirth. Little is known about other aspects of perceived fetal activity. The objective of this study was to explore the relationship between maternal perception of fetal activity and late stillbirth (≥28 wk gestation) risk. METHODS   Participants were women with a singleton, late stillbirth without congenital abnormality, born between July 2006 and June 2009 in… 
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Alterations in maternally perceived fetal movement and their association with late stillbirth: findings from the Midland and North of England stillbirth case–control study
TLDR
Clinical guidance should be updated to reflect that increase in strength and frequency of fetal movements is associated with the lowest risk of stillbirth, and that decreased fetal movements are associated with stillbirth.
Association between maternally perceived quality and pattern of fetal movements and late stillbirth
TLDR
Women with stillbirth were more likely than controls to have experienced alterations in fetal movement, including decreased strength, frequency and in particular a fetus that was ‘quiet’ in the evening.
Stillbirth is associated with perceived alterations in fetal activity – findings from an international case control study
TLDR
Alterations in fetal activity are associated with increased risk of stillbirth and pregnant women should be educated about awareness of fetal activity and reporting abnormal activity to health professionals.
A diurnal fetal movement pattern: Findings from a cross-sectional study of maternally perceived fetal movements in the third trimester of pregnancy
TLDR
The data support informing women in the third trimester that as pregnancy advances it is normal to perceive increasingly strong movement, episodes of movements that are more vigorous than usual, fetal hiccups, and a diurnal pattern involving strong fetal movement in the evening.
Breaking through the silence in antenatal care: Fetal movement and stillbirth education.
Maternal perception of fetal movement type: the effect of gestational age and maternal factors
  • S. Hantoushzadeh, M. Sheikh, M. Shariat, Z. Farahani
  • Medicine
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
  • 2015
TLDR
Most pregnant women could discriminate changes in fetal movement type that follow a general pattern through the third gestational trimester, however this can be affected by maternal employment, parity and time of perception.
Maternal understanding of fetal movement in third trimester: a means for fetal monitoring and reducing stillbirth.
TLDR
Maternal educational level is an important factor in the early identification of abnormality of fetal movement and the need for a guideline, particularly during antenatal care, on information and management of abnormal fetal movement in the setting to prevent avoidable stillbirth is reflected.
Daily structured approach to awareness of fetal movements and pregnancy outcome - a prospective study.
Maternal perception of fetal movements: A qualitative description
TLDR
Increased strength and frequency of movements at term as determined qualitatively by the mother was associated with higher mean customised birthweight of newborns, whilst decreased frequency was in all cases associated with either maternal obesity, customisedBirthweight under the 20th centile or operative delivery for non-reassuring fetal status.
Women's Experiences of Fetal Movements before the Confirmation of Fetal Death--Contractions Misinterpreted as Fetal Movement.
TLDR
The majority of the women experienced decreased, weaker, or no fetal movement at all 2 days before fetal death was diagnosed, and using fetal movement information to evaluate possible fetal distress may lead to reductions in stillbirths.
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