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Reduced fetal movement: factors affecting maternal perception.
Aya Mohr Sasson1, Abraham Tsur1, Anat Kalter1,2
1a Department of Obstetrics and Gynecology , The Chaim Sheba Medical Center , Tel Hashomer , Israel .
Summary
Reduced fetal movements are linked to being a first-time mother (nulliparity) and having an anterior placenta. These factors are key in understanding decreased fetal movement perception during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Perinatal Research
Background:
- Reduced maternal perception of fetal movements (RFM) is a common reason for emergency room visits.
- Understanding the factors associated with RFM is crucial for optimizing maternal and fetal care.
Purpose of the Study:
- To investigate the physiologic factors contributing to reduced maternal perception of fetal movements (RFM).
Main Methods:
- A historical cohort study compared 399 women presenting with RFM to a control group with normal fetal movement perception.
- Maternal characteristics, gestational age, placental location, and fetal outcomes were analyzed.
Main Results:
- Nulliparity (OR = 2.28) and anterior placenta (OR = 1.44) were significantly associated with RFM in multivariate analysis.
- RFM was not linked to adverse fetal outcomes like lower Apgar scores, low birth-weight, or prematurity.
Conclusions:
- Reduced fetal movements are significantly associated with nulliparity and the presence of an anterior placenta.
- These findings can aid in risk assessment and management strategies for pregnancies experiencing RFM.
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