Prognostic Significance of Preterm Isolated Decreased Fetal Movement
Objective: Our aim is to evaluate the prognostic significance of isolated, preterm decreased fetal movement following normal initial full diagnostic workup. Study design: A retrospective observational study was conducted at a tertiary centre. The applied protocol was approved by the Medical Researc...
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| Format: | Article |
| Language: | English |
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Medical Network
2017-12-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
| Subjects: | |
| Online Access: | http://gorm.com.tr/index.php/GORM/article/view/674 |
| _version_ | 1797908853008891904 |
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| author | Ertuğrul Karahanoğlu Orhan Altınboğa Funda Akpınar Şafak Özdemirci Emre Baser Yıldız Aktaş Serdar Yalvaç |
| author_facet | Ertuğrul Karahanoğlu Orhan Altınboğa Funda Akpınar Şafak Özdemirci Emre Baser Yıldız Aktaş Serdar Yalvaç |
| author_sort | Ertuğrul Karahanoğlu |
| collection | DOAJ |
| description | Objective: Our aim is to evaluate the prognostic significance of isolated, preterm decreased fetal movement following normal initial full diagnostic workup.
Study design: A retrospective observational study was conducted at a tertiary centre. The applied protocol was approved by the Medical Research Ethics Department of the hospital where the research was conducted. Obstetrics outcomes of preterm- and term-decreased fetal movement were compared following an initial, normal diagnostic work up. Evaluated outcomes were birth weight, mode of delivery, stillbirth rate, induction of labour, development of gestational hypertension, small for gestational age and oligohydramnios, polyhydramnios during the follow up period.
Result: Obstetric complications related to placental insufficiency develops more frequently for decreased fetal movement in preterm cases with respect to that of in term cases. Following the diagnosis of decreased fetal movement, pregnancy hypertension occurred in 17% of preterm decreased fetal movement cases and in 4.7% of term decreased fetal movement cases. Fetal growth restriction developed in 6.6% of preterm decreased fetal movement and in 2.3% of term decreased fetal movement. Amniotic fluid abnormalities more frequently developed in preterm decreased fetal movement.
Conclusion: Following an initial normal diagnostic workup, preterm decreased fetal movement convey a higher risk for the development of pregnancy complications associated with placental insufficiency. The patient should be monitored closely and management protocols must be developed for initial normal diagnostic workups in cases of preterm decreased fetal movement. |
| first_indexed | 2024-04-10T10:59:03Z |
| format | Article |
| id | doaj.art-a6a9646565a34316aade671d285880c6 |
| institution | Directory Open Access Journal |
| issn | 1300-4751 |
| language | English |
| last_indexed | 2024-04-10T10:59:03Z |
| publishDate | 2017-12-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj.art-a6a9646565a34316aade671d285880c62023-02-15T16:19:46ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512017-12-0123312913210.21613/GORM.2016.674579Prognostic Significance of Preterm Isolated Decreased Fetal MovementErtuğrul Karahanoğlu0Orhan Altınboğa1Funda Akpınar2Şafak Özdemirci3Emre Baser4Yıldız Aktaş5Serdar Yalvaç6Etlik Zubeyde Hanim Women's Health Education and Research Hospital, AnkaraEtlik Zubeyde Hanim Women's Health Education and Research Hospital, AnkaraEtlik Zubeyde Hanim Women's Health Education and Research Hospital, AnkaraEtlik Zubeyde Hanim Women's Health Education and Research Hospital, AnkaraEtlik Zubeyde Hanim Women's Health Education and Research Hospital, AnkaraEtlik Zubeyde Hanim Women's Health Education and Research Hospital, AnkaraEtlik Zubeyde Hanim Women's Health Education and Research Hospital, AnkaraObjective: Our aim is to evaluate the prognostic significance of isolated, preterm decreased fetal movement following normal initial full diagnostic workup. Study design: A retrospective observational study was conducted at a tertiary centre. The applied protocol was approved by the Medical Research Ethics Department of the hospital where the research was conducted. Obstetrics outcomes of preterm- and term-decreased fetal movement were compared following an initial, normal diagnostic work up. Evaluated outcomes were birth weight, mode of delivery, stillbirth rate, induction of labour, development of gestational hypertension, small for gestational age and oligohydramnios, polyhydramnios during the follow up period. Result: Obstetric complications related to placental insufficiency develops more frequently for decreased fetal movement in preterm cases with respect to that of in term cases. Following the diagnosis of decreased fetal movement, pregnancy hypertension occurred in 17% of preterm decreased fetal movement cases and in 4.7% of term decreased fetal movement cases. Fetal growth restriction developed in 6.6% of preterm decreased fetal movement and in 2.3% of term decreased fetal movement. Amniotic fluid abnormalities more frequently developed in preterm decreased fetal movement. Conclusion: Following an initial normal diagnostic workup, preterm decreased fetal movement convey a higher risk for the development of pregnancy complications associated with placental insufficiency. The patient should be monitored closely and management protocols must be developed for initial normal diagnostic workups in cases of preterm decreased fetal movement.http://gorm.com.tr/index.php/GORM/article/view/674Decreased fetal movement, Outcomes of pregnancy, Preterm |
| spellingShingle | Ertuğrul Karahanoğlu Orhan Altınboğa Funda Akpınar Şafak Özdemirci Emre Baser Yıldız Aktaş Serdar Yalvaç Prognostic Significance of Preterm Isolated Decreased Fetal Movement Gynecology Obstetrics & Reproductive Medicine Decreased fetal movement, Outcomes of pregnancy, Preterm |
| title | Prognostic Significance of Preterm Isolated Decreased Fetal Movement |
| title_full | Prognostic Significance of Preterm Isolated Decreased Fetal Movement |
| title_fullStr | Prognostic Significance of Preterm Isolated Decreased Fetal Movement |
| title_full_unstemmed | Prognostic Significance of Preterm Isolated Decreased Fetal Movement |
| title_short | Prognostic Significance of Preterm Isolated Decreased Fetal Movement |
| title_sort | prognostic significance of preterm isolated decreased fetal movement |
| topic | Decreased fetal movement, Outcomes of pregnancy, Preterm |
| url | http://gorm.com.tr/index.php/GORM/article/view/674 |
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