Fetal Movement Counting—Maternal Concern and Experiences: A Multicenter, Randomized, Controlled Trial

Saastad, Eli; Winje, Brita Askeland; Israel, Pravin; Frøen, J. Frederik

doi:10.1111/j.1523-536x.2011.00508.x

Cited by 44 publications

(49 citation statements)

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“…Critiques argue that fetal movement counting may cause psychological distress [20]–[22] and induce superfluous consultations and obstetric interventions (induction of labor, Caesarean section) [20]. However, we have recently demonstrated in our trial that fetal movement counting is reassuring to mothers, and leads to lower levels of concern [24]. We aimed to assess the effects of increased awareness towards fetal activity by use of a fetal movement counting chart on antenatal identification of fetal pathology, pregnancy outcomes and the frequency of interventions during delivery.…”

Section: Introductionmentioning

confidence: 72%

Fetal Movement Counting Improved Identification of Fetal Growth Restriction and Perinatal Outcomes – a Multi-Centre, Randomized, Controlled Trial

et al. 2011

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BackgroundFetal movement counting is a method used by the mother to quantify her baby's movements, and may prevent adverse pregnancy outcome by a timely evaluation of fetal health when the woman reports decreased fetal movements. We aimed to assess effects of fetal movement counting on identification of fetal pathology and pregnancy outcome.MethodologyIn a multicentre, randomized, controlled trial, 1076 pregnant women with singleton pregnancies from an unselected population were assigned to either perform fetal movement counting from gestational week 28, or to receive standard antenatal care not including fetal movement counting (controls). Women were recruited from nine Norwegian hospitals during September 2007 through November 2009. Main outcome was a compound measure of fetal pathology and adverse pregnancy outcomes. Analysis was performed by intention-to-treat.Principal FindingsThe frequency of the main outcome was equal in the groups; 63 of 433 (11.6%) in the intervention group, versus 53 of 532 (10.7%) in the control group [RR: 1.1 95% CI 0.7–1.5)]. The growth-restricted fetuses were more often identified prior to birth in the intervention group than in the control group; 20 of 23 fetuses (87.0%) versus 12 of 20 fetuses (60.0%), respectively, [RR: 1.5 (95% CI 1.0–2.1)]. In the intervention group two babies (0.4%) had Apgar scores <4 at 1 minute, versus 12 (2.3%) in the control group [RR: 0.2 (95% CI 0.04–0.7)]. The frequency of consultations for decreased fetal movement was 71 (13.1%) and 57 (10.7%) in the intervention and control groups, respectively [RR: 1.2 (95% CI 0.9–1.7)]. The frequency of interventions was similar in the groups.ConclusionsMaternal ability to detect clinically important changes in fetal activity seemed to be improved by fetal movement counting; there was an increased identification of fetal growth restriction and improved perinatal outcome, without inducing more consultations or obstetric interventions.Trial Registration ClinicalTrials.gov NCT00513942

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Section: Introductionmentioning

confidence: 72%

Fetal Movement Counting Improved Identification of Fetal Growth Restriction and Perinatal Outcomes – a Multi-Centre, Randomized, Controlled Trial

et al. 2011

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“…It is possible that worries about the future (e.g., birth, dramatic changes in lifestyle) weigh more heavily on a pregnant woman's mind and thus are more likely to compromise her mental well-being than rumination about the past. It might be for this intuitively plausible reason that so (Biehle and Mickelson 2011;Gourounti et al 2012Gourounti et al , 2013Gourounti et al , 2014Gunning 2008;Lynn et al 2011;Maimburg et al 2013;Ö hman et al 2003;Petersen et al 2009;Puente et al 2011;Saastad et al 2012), rather than on rumination. Taken together, worrying and depressive rumination as two types of perseverative thinking predicted different outcomes (i.e., maternal well-being vs. maternal-foetal attachment) in the present study.…”

Section: Discussionmentioning

confidence: 95%

Predictive Importance of Antenatal Depressive Rumination and Worrying for Maternal–Foetal Attachment and Maternal Well-Being

et al. 2016

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Rumination and worrying are relevant to the onset and maintenance of depression and anxiety. Yet, it is unclear, whether depressive rumination and worrying are predictive for depressive and anxious symptomatology during pregnancy. Likewise, the potential role of depressive rumination and worrying for maternal-foetal attachment has been rarely explored. In the present longitudinal study, N = 215 pregnant women were assessed within the first 4 months of pregnancy and again in the last 4 months of pregnancy. Using regression analysis, associations between worrying and depressive rumination on the one hand and maternal-foetal attachment, depression and anxiety on the other were studied-controlling for age, number of children, social support and baseline antenatal depressive and anxious symptoms. Baseline rumination was a significant predictor of impairments in maternal-foetal attachment in later pregnancy. Baseline worrying was a significant predictor of heightened depressive symptoms and anxiety. These effects were of modest magnitude. Nonetheless, our findings reveal that different types of perseverative thinking (i.e., rumination vs. worry) might have differential effects on maternal well-being and maternal-foetal attachment.

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“…6 General antenatal education about foetal movements reduces the time from recognising a decrease in foetal movement to seeking healthcare advice and preliminary data suggests that it may reduce stillbirth rates. 7,8 There is relatively little information about the role of health professionals in educating women about foetal movements. Midwives, obstetricians and other health professionals should routinely provide pregnant women with advice and information about pregnancy related issues including foetal movements, and that this topic should be revisited in the third trimester of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

How pregnant women learn about foetal movements: Sources and preferences for information

et al. 2015

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Fetal Movement Counting—Maternal Concern and Experiences: A Multicenter, Randomized, Controlled Trial

Cited by 44 publications

References 53 publications

Fetal Movement Counting Improved Identification of Fetal Growth Restriction and Perinatal Outcomes – a Multi-Centre, Randomized, Controlled Trial

Fetal Movement Counting Improved Identification of Fetal Growth Restriction and Perinatal Outcomes – a Multi-Centre, Randomized, Controlled Trial

Predictive Importance of Antenatal Depressive Rumination and Worrying for Maternal–Foetal Attachment and Maternal Well-Being

How pregnant women learn about foetal movements: Sources and preferences for information

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