Association between maternally perceived quality and pattern of fetal movements and late stillbirth

Abstract We investigated fetal movement quality and pattern and association with late stillbirth in this multicentre case-control study. Cases (n = 164) had experienced a non-anomalous singleton late stillbirth. Controls (n = 569) were at a similar gestation with non-anomalous singleton ongoing preg...

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Autores principales: Billie F. Bradford, Robin S. Cronin, Lesley M. E. McCowan, Christopher J. D. McKinlay, Edwin A. Mitchell, John M. D. Thompson
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2019
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Acceso en línea:https://doaj.org/article/ac386f20b7d849e19abbce2c2e8c841d
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spelling oai:doaj.org-article:ac386f20b7d849e19abbce2c2e8c841d2021-12-02T15:09:18ZAssociation between maternally perceived quality and pattern of fetal movements and late stillbirth10.1038/s41598-019-46323-42045-2322https://doaj.org/article/ac386f20b7d849e19abbce2c2e8c841d2019-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-019-46323-4https://doaj.org/toc/2045-2322Abstract We investigated fetal movement quality and pattern and association with late stillbirth in this multicentre case-control study. Cases (n = 164) had experienced a non-anomalous singleton late stillbirth. Controls (n = 569) were at a similar gestation with non-anomalous singleton ongoing pregnancy. Data on perceived fetal movements were collected via interviewer-administered questionnaire. We compared categorical fetal movement variables between cases and controls using multivariable logistic regression, adjusting for possible confounders. In multivariable analysis, maternal perception of the following fetal movement variables was associated with decreased risk of late stillbirth; multiple instances of ‘more vigorous than usual’ fetal movement (aOR 0.52, 95% CI 0.32–0.82), daily perception of fetal hiccups (aOR 0.28, 95%CI 0.15–0.52), and perception of increased length of fetal movement clusters or ‘busy times’ (aOR 0.23, 95%CI 0.11–0.47). Conversely, the following maternally perceived fetal movement variables were associated with increased risk of late stillbirth; decreased frequency of fetal movements (aOR 2.29, 95%CI 1.31–4.0), and perception of ‘quiet or light’ fetal movement in the evening (aOR 3.82, 95%CI 1.57–9.31). In conclusion, 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.Billie F. BradfordRobin S. CroninLesley M. E. McCowanChristopher J. D. McKinlayEdwin A. MitchellJohn M. D. ThompsonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-9 (2019)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Billie F. Bradford
Robin S. Cronin
Lesley M. E. McCowan
Christopher J. D. McKinlay
Edwin A. Mitchell
John M. D. Thompson
Association between maternally perceived quality and pattern of fetal movements and late stillbirth
description Abstract We investigated fetal movement quality and pattern and association with late stillbirth in this multicentre case-control study. Cases (n = 164) had experienced a non-anomalous singleton late stillbirth. Controls (n = 569) were at a similar gestation with non-anomalous singleton ongoing pregnancy. Data on perceived fetal movements were collected via interviewer-administered questionnaire. We compared categorical fetal movement variables between cases and controls using multivariable logistic regression, adjusting for possible confounders. In multivariable analysis, maternal perception of the following fetal movement variables was associated with decreased risk of late stillbirth; multiple instances of ‘more vigorous than usual’ fetal movement (aOR 0.52, 95% CI 0.32–0.82), daily perception of fetal hiccups (aOR 0.28, 95%CI 0.15–0.52), and perception of increased length of fetal movement clusters or ‘busy times’ (aOR 0.23, 95%CI 0.11–0.47). Conversely, the following maternally perceived fetal movement variables were associated with increased risk of late stillbirth; decreased frequency of fetal movements (aOR 2.29, 95%CI 1.31–4.0), and perception of ‘quiet or light’ fetal movement in the evening (aOR 3.82, 95%CI 1.57–9.31). In conclusion, 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.
format article
author Billie F. Bradford
Robin S. Cronin
Lesley M. E. McCowan
Christopher J. D. McKinlay
Edwin A. Mitchell
John M. D. Thompson
author_facet Billie F. Bradford
Robin S. Cronin
Lesley M. E. McCowan
Christopher J. D. McKinlay
Edwin A. Mitchell
John M. D. Thompson
author_sort Billie F. Bradford
title Association between maternally perceived quality and pattern of fetal movements and late stillbirth
title_short Association between maternally perceived quality and pattern of fetal movements and late stillbirth
title_full Association between maternally perceived quality and pattern of fetal movements and late stillbirth
title_fullStr Association between maternally perceived quality and pattern of fetal movements and late stillbirth
title_full_unstemmed Association between maternally perceived quality and pattern of fetal movements and late stillbirth
title_sort association between maternally perceived quality and pattern of fetal movements and late stillbirth
publisher Nature Portfolio
publishDate 2019
url https://doaj.org/article/ac386f20b7d849e19abbce2c2e8c841d
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