Maternal perception of fetal movements in the third trimester: A qualitative description

Bradford, Billie; Maude, Robyn

doi:10.1016/j.wombi.2017.12.007

Cited by 30 publications

(71 citation statements)

References 32 publications

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“…Furthermore, the maternal-fetal attachment is increased by fetal movements' perception (11,20,21) . Health care providers have long acknowledged the importance of maternally perceived fetal movements, but continue to DOI: 10.9790/1959-060207107119 www.iosrjournals.org 117 | Page under investigate the maternal perception of fetal activity to date (22,23) . Therefore, this study was undertaken to determine the maternal perception of fetal movement and antenatal advice regarding fetal movement.…”

Section: Discussionmentioning

confidence: 99%

Maternal Perception and Antenatal Advice regarding Fetal Movements in Al-Gharbyia Governorate, Egypt

Belal¹,

Elkazeh²

2017

IOSR JNHS

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Section: Discussionmentioning

confidence: 99%

Maternal Perception and Antenatal Advice regarding Fetal Movements in Al-Gharbyia Governorate, Egypt

Belal¹,

Elkazeh²

2017

IOSR JNHS

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“…The references, and exclusion reasons for these 56 excluded studies are provided in Additional File 2. This resulted in the inclusion of nine studies across 11 publications [34][35][36][37][38][39][40][41][42][43][44]. Figure 2 illustrates the search and selection process.…”

Section: Search and Selectionmentioning

confidence: 99%

“…Table 2 presents the summary characteristics of the included studies. Three studies (four reports) were conducted in Sweden [34,[38][39]42], three in Australia [40,41,43], two in the UK [37,44] and one (two reports) in New Zealand [35,36]. The majority of the studies (n=6) were conducted from 2011 onwards, with one conducted in 1986 [37], and for two, the study dates were not provided [35][36]43].…”

Section: Search and Selectionmentioning

confidence: 99%

“…Three studies (four reports) were conducted in Sweden [34,[38][39]42], three in Australia [40,41,43], two in the UK [37,44] and one (two reports) in New Zealand [35,36]. The majority of the studies (n=6) were conducted from 2011 onwards, with one conducted in 1986 [37], and for two, the study dates were not provided [35][36]43]. Data collection involved the use of questionnaires with open-ended response options in six studies [34,[37][38][39][40][41]43] and interviews in the remaining three studies [35-36, 42, 44].…”

Section: Search and Selectionmentioning

confidence: 99%

See 1 more Smart Citation

Assessing Fetal Movements in Pregnancy: A Qualitative Evidence Synthesis of Women’s Views, Perspectives and Experiences

Smith

Muldoon

Brady

et al. 2020

Preprint

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Background: Raising awareness of the importance of fetal movements (FMs) and advising women on the appropriate action to take if they experience reduced FMs, is critical for minimising or avoiding adverse perinatal outcomes. To gain insight and understanding of women’s perspectives of assessing FMs in pregnancy, we conducted a qualitative evidence synthesis. Methods: A qualitative evidence synthesis using thematic synthesis was conducted. Studies were eligible if they included pregnant women who were at least 20 weeks gestation and reported qualitative data from women on assessing FMs in pregnancy. MEDLINE, CINAHL, EMBASE, PsycINFO and Social Science Citation Index, from inception to July 2020, were searched. The methodological quality of included studies was assessed by at least two reviewers using an EPPI-Centre quality assessment tool. Data analysis, using the Thomas and Harden framework, involved line by line coding of extracted data, establishing descriptive themes, and determining analytical themes. Confidence in the findings was assessed using GRADE CER-Qual. Results: Nine studies, involving 2193 women, were included in the review. The methodological quality of the studies was overall generally high. The synthesis revealed three dominant themes, and seven sub-themes that reflected women’s perspectives of assessing FMs in pregnancy. These were; 1) How women engage with FMs, with subthemes of informal engagement, formal engagement, and strategies to stimulate FMs; 2) ‘…like a feather inside my belly’ - articulating and describing FMs, with sub-themes of sensations associated with FMs and timing and frequency of FMs; and 3) FMs and help/health seeking, with sub-themes of information sources and interacting with healthcare professionals. Confidence in the findings was either high or moderate, although two findings were rated low confidence and one very low.Conclusion: This qualitative evidence synthesis reveals that women informally engage with FMs during pregnancy. Women commonly adopt strategies to stimulate FMs when concerned. The use of the internet was a common source of obtaining information regarding FMS. Women require better support when contacting healthcare professionals about FMs. As only three of the nine included studies were exclusively qualitative in design, further qualitative studies exploring women’s perspective of assessing FMs in pregnancy are required.

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“…[5] Therefore, if a woman experiences a qualitative change in fetal movements, it may be more important clinically than any definition of a specific numeric decrease in fetal kick counts. [6] Is there evidence for fetal kick counting?…”

Section: What Are Normal Fetal Movements?mentioning

confidence: 99%

‘Reds flags’ in antenatal care: Fetal movements and fetal growth

Gebhardt

2018

S Afr Med J

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What is the problem? Recently, there has been a growing awareness that poor fetal growth in the third trimester is an important cause of late stillbirth or intrapartum-related adverse outcomes, such as neonatal encephalopathy. During 2014-2016, 63 968 stillbirths were recorded in South Africa (SA). [1] Of those where no apparent cause could be found, 33% occurred at term, while 48% of unexplained stillbirths occurred in women with no obvious obstetric complications. The majority (72%) of babies who died during labour because of presumed intrapartum asphyxia, were infants of low-risk mothers who had no known risk factors. Modifiable factors for intrapartum asphyxia include a prolonged second stage of labour and an apparent inability to detect fetal distress. With regard to patient-related modifiable factors, there were clinical notes relating to reduced fetal movements a few days before fetal death in almost 13 000 cases. However, can a timeous and appropriate response by a mother to decreased fetal movements prevent a late intrauterine death? Is it possible to detect late fetal growth restriction (LFGR) in a low-resourced setting and is there any action that can be taken to reduce risk of death? This article reviews the most recent literature and proposes a simplified management protocol. This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.

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Maternal perception of fetal movements in the third trimester: A qualitative description

Cited by 30 publications

References 32 publications

Maternal Perception and Antenatal Advice regarding Fetal Movements in Al-Gharbyia Governorate, Egypt

Maternal Perception and Antenatal Advice regarding Fetal Movements in Al-Gharbyia Governorate, Egypt

Assessing Fetal Movements in Pregnancy: A Qualitative Evidence Synthesis of Women’s Views, Perspectives and Experiences

‘Reds flags’ in antenatal care: Fetal movements and fetal growth

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