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

Yıl 2018, Cilt: 49 Sayı: 2, 214 - 217, 27.06.2018

Hatice Akkaya , Barış Büke

https://doi.org/10.16948/zktipb.370481

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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