Maternal Perception of Fetal Movements Near Term: The Problem of Maternal cCmpliance
ACOG ePoster. Ghidini A. Apr 27, 2018; 211673
Alessandro Ghidini
Alessandro Ghidini
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Abstract
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Introduction: Women's compliance with counting of fetal movements (FM), a key issue for the success of such a screening test, has been poorly studied as non-compliant women have traditionally been excluded from studies on FM count.

Methods: Prospective cohort study of all women with risk factors for fetal death undergoing fetal testing via weekly modified biophysical profile started at 36 weeks. Excluded were multiple gestations, decreased fetal movements, delivery indicated at 37 weeks, severe maternal medical conditions or severe fetal anomalies. Risk of stillbirth in last month of pregnancy was explained and women were taught in a consistent way on FM count-to-10 with recording of time to the 10th movement. Log sheets were verified weekly at the time of fetal testing, when instructions on FM counts were reinforced by dedicated nurses.

Results: 8% of candidate women declined FM count. Among women consenting to participate in the study, those compliant (52%) had similar maternal age, race, ethnicity, obesity, and indications for testing as those non-compliant, but were more frequently nulliparous (P
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