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CONFERENCE PROCEEDING
A prospective case-control study of risk factors and perinatal outcomes associated with reduced fetal movements
1
University College Dublin, School of Nursing- Midwifery and Health Systems, Dublin, Ireland
2
Trinity College Dublin, School of Nursing and Midwifery, Dublin, Ireland
Eur J Midwifery 2026;10(Supplement 1):A986
ABSTRACT
BACKGROUND:
Maternal perception of reduced fetal movements (RFM) in pregnancy is a common reason for referral to maternity services. RFM is considered a potential sign of a fetus at risk of adverse perinatal outcomes, particularly stillbirth. Pregnancy characteristics of women with RFM vary across studies.
OBJECTIVES:
To present a contemporary investigation of risk factors for, pregnancy, birth, and neonatal outcomes associated with RFM in pregnancy.
METHODS:
A prospective case-control study of all women with a singleton pregnancy, presenting to the emergency department, of a large urban maternity hospital in Ireland, with a primary complaint of RFM after 24 weeks’ gestation (cases) between 1 January - 30 September 2020 were compared with women who did not have RFM during pregnancy (controls). Univariate logistic regression analyses were used to measure and quantify the size and strength of associations. Multivariable regression analyses were performed to identify independent associations of potential risk factors and perinatal outcomes.
RESULTS:
Women who presented with RFM (n=850) were compared with 1743 women who did not present with RFM during the study period. Women with RFM, were nulliparous (68% versus 43.8%; p<0.001; aOR 2.96 95% CI 2.41-3.64), obese (17% versus 15.9%; p=0.03; aOR 1.3 95% CI 1.03-1.73) or severely obese (4.1% versus 1.8%; p<0.001; aOR 3.30 95% CI 1.89-5.77). Women with a pregnancy after loss, specifically recurrent miscarriages or neonatal death were also more likely to attend with RFM during pregnancy. RFM was not found to be associated with stillbirth, however, was associated with babies born small for gestational age.
CONCLUSIONS:
Contemporary evidence signifies the women that may require additional information and education on fetal movements.
KEY MESSAGE:
Knowledge of maternal characteristics associated with RFM could assist in identifying pregnancies at higher risk of adverse perinatal outcomes and aid decision making regarding need for further investigation when a woman presents with RFM during pregnancy. Poster session 4 (Group B)
Maternal perception of reduced fetal movements (RFM) in pregnancy is a common reason for referral to maternity services. RFM is considered a potential sign of a fetus at risk of adverse perinatal outcomes, particularly stillbirth. Pregnancy characteristics of women with RFM vary across studies.
OBJECTIVES:
To present a contemporary investigation of risk factors for, pregnancy, birth, and neonatal outcomes associated with RFM in pregnancy.
METHODS:
A prospective case-control study of all women with a singleton pregnancy, presenting to the emergency department, of a large urban maternity hospital in Ireland, with a primary complaint of RFM after 24 weeks’ gestation (cases) between 1 January - 30 September 2020 were compared with women who did not have RFM during pregnancy (controls). Univariate logistic regression analyses were used to measure and quantify the size and strength of associations. Multivariable regression analyses were performed to identify independent associations of potential risk factors and perinatal outcomes.
RESULTS:
Women who presented with RFM (n=850) were compared with 1743 women who did not present with RFM during the study period. Women with RFM, were nulliparous (68% versus 43.8%; p<0.001; aOR 2.96 95% CI 2.41-3.64), obese (17% versus 15.9%; p=0.03; aOR 1.3 95% CI 1.03-1.73) or severely obese (4.1% versus 1.8%; p<0.001; aOR 3.30 95% CI 1.89-5.77). Women with a pregnancy after loss, specifically recurrent miscarriages or neonatal death were also more likely to attend with RFM during pregnancy. RFM was not found to be associated with stillbirth, however, was associated with babies born small for gestational age.
CONCLUSIONS:
Contemporary evidence signifies the women that may require additional information and education on fetal movements.
KEY MESSAGE:
Knowledge of maternal characteristics associated with RFM could assist in identifying pregnancies at higher risk of adverse perinatal outcomes and aid decision making regarding need for further investigation when a woman presents with RFM during pregnancy. Poster session 4 (Group B)
| eISSN: | 2585-2906 |
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