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Women’s experiences of two different self-assessment methods for monitoring fetal movements in full-term pregnancy: – a crossover trial
Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.ORCID-id: 0000-0001-7385-5649
Sophiahemmet Högskola.
Kvinnor och Barns Hälsa, Uppsala Universitet.
Sahlgrenska Akademin, Göteborgs Universitet.
Vise andre og tillknytning
2017 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
Abstract [en]

Background: Low maternal awareness of fetal movements is associated with negative birth outcomes. Knowledge regarding pregnant women’s compliance with programs of systematic self-assessment of fetal movements is needed.

 

Aim: To study women’s experiences using two different self-assessment methods for monitoring fetal movements and to determine if the women had a preference for one or the other method.

 

Methods: Data were collected by a crossover trial. 40 healthy women with an uncomplicated full-term pregnancy counted the fetal movements according to a Count-to-ten method and assessed the character of the movements according to the Mindfetalness method. Each self-assessment was observed by a midwife and followed by a questionnaire. A total of 80 self-assessments was performed; 40 with each method.

 

Results: One of the 40 participants did not find at least one method for monitoring fetal movements suitable. Twenty of the total of 39 reported a preference, fifteen of the 39 participants reported a preference for the Mindfetalness method and five for the Count-to-ten method. The women described the observation of the movements as a safe and reassuring moment for communication with their unborn baby. They said they felt calm, relaxed, and mentally present and focused during the observations.

Conclusions: In the 80 assessments all but one of the women found one or both methods suitable for self-assessment of fetal movements and they felt comfortable during the assessments. More women preferred the Mindfetalness method compared to the Count-to-ten method.

 

Clinical implications: For women who prefer systematic self-assessment methods of their unborn baby’s movements, both Count-to-ten and Mindfetalness can be presented as options. However, the methods need to be better evaluated concerning their potential to prevent pre-hospital delay when the unborn baby’s health is at stake before they can be implemented in antenatal care as a routine.

sted, utgiver, år, opplag, sider
the Canadian Association of Midwives (CAM) , 2017.
Emneord [en]
Crossover trial, Fetal movements, Pregnacy, Self-assessment
HSV kategori
Forskningsprogram
Hälsa och välfärd; Hälsa och välfärd, Mammors erfarenheter och beskrivning av sitt barns rörelser i livmodern
Identifikatorer
URN: urn:nbn:se:du-25613OAI: oai:DiVA.org:du-25613DiVA, id: diva2:1127734
Konferanse
31st ICM Triennial Congress, Toronto, Canada, 18-22 June 2017
Prosjekter
Fetal Movements in late Pregnancy Categorization, Self-assessment, and Prenatal Attachment in relation to women’s experiences.Tilgjengelig fra: 2017-07-18 Laget: 2017-07-18 Sist oppdatert: 2017-07-26bibliografisk kontrollert

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http://www.midwives2017.org/scientific-programme

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Malm, Mari-Cristin

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