Characteristic of first fetal movement maternal perception and the relationship with pregnancy outcomes at term

Abstract

Abstract

Objective: To investigate the relationship between properties of gestational period in which pregnant women feel their baby's movements for the first time, and pregnancy outcomes at term.

Material and Methods:This longitudinal prospective study conducted at a tertiary center between  June 2016 and  September 2016. Of all, 272 pregnant women who gave birth at our clinic, were given a questionnaire at the time of a routine follow-up visit between 12 and 25 gestational weeks and were evaluated their pregnancy outcomes.The patient cohort was divided into two groups according to the gestational week in which fetal movements were felt for the first time by the pregnant women and comparisons were made between the groups.

Results:The gestational week in which fetal movements were felt for the first time by the pregnant women were affected by placental settlement, maternal educational levels, and routine coffee consumption. There were no statistically significant differences between two groups regarding to the time at birth, gender of baby, birth weight and lenght, mode of delivery, value of low 5 min APGAR score(<7),  fetal distress for emergency ceserean delivery and admission of neonatal intensive care unit. We were found significant differences between the groups according to low 1 min APGAR score ( <7), increase postterm pregnancy, contact their care provider for  decreased fetal movements and admission to the hospital due to non reassuring NST(p=0.043,p=0.001, p=0.001, p=0.002, respectively).

Conclusions: In pregnant women who delayed perception of first fetal movements  , there was a significant increase in worrying complaints for pregnant women and care providers during the advanced gestational weeks.But, delayed maternal perception of first fetal movements is not associated with increased adverse pregnancy outcomes.

Keywords

• Fetal movement; coffee; tea; smoking; pregnency outcomes; placental location.

Gebedeki ilk fetal hareket algısının özellikleri ve termde gebelik sonuçlarıyla ilişkilisi

Öz

Özet

Amaç: Gebelerin fetal hareketi ilk hissettiği dönemdeki özellikleriyle, termde doğum sonuçları arasındaki ilişkiyi değerlendirmektir.

Gereç ve Yöntem: Bu prospektif  longitudinal çalışmada, tersiyer bir merkezde Haziran-Eylül 2016 tarihleri arasında yapıldı. Rutin gebelik kontrolü için 12-25 hafta arası hastanemize başvurup çalışma anketi doldurulan ve kliniğimizde doğumu gerçekleşen 272 olgunun doğum sonuçları değerlendirildi. Tüm olgular fetal hareketin ilk hissedildiği zamana göre 2 gruba ayrılarak karşılaştırmalar yapıldı.

Bulgular: İlk fetal hareketi hissetme zamanı plasental yerleşim yeri, maternal eğitim düzeyleri ve gebelikte rutin kahve tüketiminden etkilenmektedir. İstatistiksel olarak  doğumun gerçekleştiği gebelik haftası, yenidoğan cinsiyet, boy ve kilo, doğum şekilleri, düşük 5. dakika APGAR skoru( <7) değerleri, fetal distres endikasyonuyla acil sezaryen olma ve yenidoğan yoğun bakıma gidiş açısından  gruplar arasında anlamlı farklılık yoktu. Olgular düşük 1. dakika APGAR skoru( <7), artmış postterm gebelik, bebek hareketlerinde azalma nedeniyle başvuru, nonreaktif NST nedeniyle hastaneye yatış  özellikleri açısından incelendiğinde iki grup arasında anlamlı farklılık izlendi (p değerleri verilen sırası ile p=0.043,p=0.001, p=0.001, p=0.002).

Sonuç: İlk fetal hareketi geç hissedenlerde, ilerleyen gebelik haftalarında gebe ve doktorlar için endişe verici  şikayetlerde anlamlı artış görülmüştür. Ancak ilk fetal hareketleri daha geç hissetmek artmış kötü gebelik sonuçlarıyla ilişkili değildir.

Anahtar Kelimeler

• plasental yerleşim,gebelik sonuçları,sigara,çay,kahve,fetal hareket

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