Pregnancy outcome of women presenting with decreased fetal movements

Abstract

Objective: To evaluate and analyze pregnancy and neonatal outcome in a group of pregnant women who were hospitalized due to decreased fetal movements (DFM). Methods: This was a retrospective case control study of 70 pregnant women with the "Decreased fetal movements ante partum" diagnosis who were hospitalized, induced and delivered following the same event. This group was compared to 70 other pregnant women who were hospitalized due to the same diagnosis, evaluated, discharged home and delivered at our center later on. These 2 DFM groups were compared to a control group. Results: During the study period, 17,465 women delivered at our medical center, 2,366 women hospitalized in our high-risk unit, including 171 having DFM as their primary diagnosis. Compared to the DFM group who was discharged home and the control group, the induced DFM group was at higher gestational age at hospital admission, had higher "high risk pregnancy" and "poor pregnancy outcome" rates, as well as higher cesarean section (CS), neonatal intensive care unit NICU admission and hospitalization period rates. Conclusions: Pregnant women who complain of DFM at term are more prevalent as higher risk pregnancy, Poor pregnancy outcome; more often labor induced have and higher CS rates.

One-Year Review Of Reduced Fetal Movements In Izzat Ali Shah MCH Center: A Predictor Of Poor Perinatal Outcome

“…1 No approved guidelines are available regarding the frequency of observed fetal movements. 2,3 No specific definition for decreased fetal movements has been formulated yet. Some define it as absent fetal movements for a 12hour duration; termed a "movement alarm signal (MAS)".…”