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Development of a tool to evaluate fetal movements in full-term pregnancy
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Department of Women’s and Children’s Health, Uppsala University, Sweden.ORCID iD: 0000-0001-7385-5649
Sahlgrenska Akademin, Göteborgs Universitet.
Kvinnor och Barns Hälsa, Uppsala Universitet.
Kvinnor och Barns Hälsa, Uppsala Universitet.
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2014 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, Vol. 5, no 1, 31-35 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To study women’s description of fetal movements in full-term pregnancy. Further to investigate if their descriptions could be sorted with regard to intensity and type of movements, using a matrix under development to be a tool for evaluating fetal movements in clinical praxis.

Methods: Data were collected by distributing questionnaires including an open question: “Please describe your perception of the baby’s movements during this gestational week.” A matrix listed seven categories of movements divided into powerful and non-powerful movements, was used for the content analysis.

Results: 393 (78%) women responded to the open question. The movements were split into two domains: Powerful movements and Non-powerful movements. Altogether, 383 (96%) women perceived fetal movements that were sorted as powerful movement: firm, slow stretchinglarge and side to side. Ten (4%) women described movements exclusively, i.e. movements that did not include any of the movements in the powerful domain. Most women perceived movements that corresponded to more than one type of category, and all movements described by the women could be referred to at least one of the categories in the matrix.

Conclusion: The matrix was useful for identification of the women’s perceptions of fetal movements in full-term pregnancy. Further studies are needed in order to develop the tool and its potential to evaluate the well-being of the fetus before it is to be used in clinical praxis.

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 5, no 1, 31-35 p.
Keyword [en]
Fetal movements; Obstetric; Pregnancy
National Category
Health Sciences
Research subject
Hälsa och välfärd
Identifiers
URN: urn:nbn:se:du-13590DOI: 10.1016/j.srhc.2013.11.003ISI: 000331500300006PubMedID: 24472387OAI: oai:DiVA.org:du-13590DiVA: diva2:682970
Projects
Kvinnors upplevelser av fosterrörelser i fullgången graviditet
Available from: 2013-12-31 Created: 2013-12-31 Last updated: 2016-08-18Bibliographically approved
In thesis
1. Fetal Movements in late Pregnancy: Categorization, Self-assessment, and Prenatal Attachment in relation to women’s experiences
Open this publication in new window or tab >>Fetal Movements in late Pregnancy: Categorization, Self-assessment, and Prenatal Attachment in relation to women’s experiences
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: To explore how pregnant women experience fetal movements in late pregnancy. Specific aims were:  to study women’s experiences during the time prior to receiving news that their unborn baby had died in utero (I), to investigate women’s descriptions of fetal movements (II), investigate the association between the magnitude of fetal movements and level of prenatal attachment (III), and to study women’s experiences using two different self-assessment methods (IV).

Methods: Interviews, questionnaires, and observations were used.

Results: Premonition that something had happened to their unborn baby, based on a lack of fetal movements, was experienced by the participants. The overall theme “something is wrong” describes the women’s insight that the baby’s life was threatened (I). Fetal movements that were sorted into the domain “powerful movements” were perceived in late pregnancy by 96 % of the participants (II). Perceiving frequent fetal movements on at least three occasions per 24 hours was associated with higher scores of prenatal attachment in all the three subscales on PAI-R. The majority (55%) of the 456 participants reported average occasions of frequent fetal movements, 26% several occasions and 18% reported few occasions of frequent fetal movements, during the current gestational week.  (III). Only one of the 40 participants did not find at least one method for monitoring fetal movements suitable. 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 (IV).

Conclusion:  In full-term and uncomplicated pregnancies, women usually perceive fetal movements as powerful. Furthermore, women in late pregnancy who reported frequent fetal movements on several occasions during a 24-hour period seem to have a high level of prenatal attachment. Women who used self-assessment methods for monitoring fetal movements felt calm and relaxed when observing the movements of their babies. They had a high compliance for both self-assessment methods. Women that had experienced a stillbirth in late pregnancy described that they had a premonition before they were told that their baby had died in utero. 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2016. 73 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1171
Keyword
Fetal movements, pregnancy, prenatal attachment, self-assessment, stillbirth
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-22713 (URN)978-91-554-9446-9 (ISBN)
Public defence
2016-02-25, Föreläsningssal 6, Högskolegatan 2, Falun, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2016-08-18 Created: 2016-08-18 Last updated: 2016-08-18Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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