Maternal knowledge of fetal movements in late pregnancy. 2012

Andrea M Peat, and Tomasina Stacey, and Robin Cronin, and Lesley M E McCowan
Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand.

BACKGROUND Current evidence suggests that fetal movements are an important indicator of fetal well-being. About a quarter of women who present with decreased fetal movements have adverse perinatal outcomes such as intrauterine growth restriction and stillbirth. There are no New Zealand studies reporting maternal knowledge about fetal movements in late pregnancy. OBJECTIVE To determine what information women in the third trimester of pregnancy receive about fetal movements, both from their maternity caregivers and from other sources. METHODS A convenience sample of 100 women attending two antenatal clinics in Auckland in November and December 2011 were interviewed by a medical student. RESULTS Ninety-seven per cent of women reported that their lead maternity carer (LMC) regularly asked about fetal movements, and 62% recalled receiving information from their LMC about what to expect regarding fetal movements in the last three months of pregnancy. Thirty-three per cent recalled receiving information from their LMC that their baby's movements should increase or stay the same and 20% that their baby's movements may decrease in late pregnancy. Forty per cent were advised to contact their LMC if they had any concerns about their baby's movements, and one-quarter were informed to seek advice if they had fewer than 10 movements in a day. CONCLUSIONS Our study suggests a proportion of pregnant women in Auckland do not have optimum information about fetal movements. Strategies to enhance maternal knowledge such as a pamphlet about fetal movements may be helpful.

UI MeSH Term Description Entries
D007722 Health Knowledge, Attitudes, Practice Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL). Knowledge, Attitudes, Practice
D009520 New Zealand A group of islands in the southwest Pacific. Its capital is Wellington. It was discovered by the Dutch explorer Abel Tasman in 1642 and circumnavigated by Cook in 1769. Colonized in 1840 by the New Zealand Company, it became a British crown colony in 1840 until 1907 when colonial status was terminated. New Zealand is a partly anglicized form of the original Dutch name Nieuw Zeeland, new sea land, possibly with reference to the Dutch province of Zeeland. (From Webster's New Geographical Dictionary, 1988, p842 & Room, Brewer's Dictionary of Names, 1992, p378)
D010353 Patient Education as Topic The teaching or training of patients concerning their own health needs. Education of Patients,Education, Patient,Patient Education
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011263 Pregnancy Trimester, Third The last third of a human PREGNANCY, from the beginning of the 29th through the 42nd completed week (197 to 294 days) of gestation. Pregnancy, Third Trimester,Trimester, Third,Last Trimester,Last Trimesters,Pregnancies, Third Trimester,Pregnancy Trimesters, Third,Third Pregnancy Trimester,Third Pregnancy Trimesters,Third Trimester,Third Trimester Pregnancies,Third Trimester Pregnancy,Third Trimesters,Trimester, Last,Trimesters, Last,Trimesters, Third
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D005260 Female Females
D005324 Fetal Movement Physical activity of the FETUS in utero. Gross or fine fetal body movement can be monitored by the mother, PALPATION, or ULTRASONOGRAPHY. Fetal Activity,Fetal Activities,Fetal Movements
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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