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Increased labor induction and women presenting with decreased or altered fetal movements: A population-based survey
Sophiahemmet Högskola.ORCID-id: 0000-0003-0830-217X
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2019 (Engelska)Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, nr 5, artikel-id e0216216Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

INTRODUCTION: Women's awareness of fetal movements is important as perception of decreased fetal movements can be a sign of a compromised fetus. We aimed to study rate of labor induction in relation to number of times women seek care due to decreased or altered fetal movements during their pregnancy compared to women not seeking such care. Further, we investigated the indication of induction.

MATERIAL AND METHODS: A prospective population-based cohort study including all obstetric clinics in Stockholm, Sweden. Questionnaires were distributed to women who sought care due to decreased or altered fetal movements ≥ 28 week's gestation in 2014, women for whom an examination did not indicate a compromised fetus that required induction of labor or cesarean section when they sought care. Women who gave birth at ≥ 28 weeks' gestation in 2014 in Stockholm comprises the reference group.

RESULTS: Labor was induced more often among the 2683 women who had sought care due to decreased or altered fetal movements (RR 1.4, 95% CI 1.3-1.5). In women who presented with decreased or altered fetal movements induction of labor occurred more frequently for fetal indication than those with induction of labor and no prior fetal movement presentation (RR 1.6, 95% CI 1.4-1.8). The rate of induction increased with number of times a woman sought care, RR 1.3 for single presentation to 3.2 for five or more.

CONCLUSIONS: We studied women seeking care for decreased or altered fetal movements and for whom pregnancy was not terminated with induction or caesarean section. Subsequent (median 20 days), induction of labor and induction for fetal indications were more frequent in this group compared to the group of women with no fetal movement presentations. Among women seeking care for altered or decreased fetal movements, the likelihood of induction of labor increased with frequency of presentation.

Ort, förlag, år, upplaga, sidor
2019. Vol. 14, nr 5, artikel-id e0216216
Nyckelord [en]
Fetal movements
Nationell ämneskategori
Reproduktionsmedicin och gynekologi
Identifikatorer
URN: urn:nbn:se:shh:diva-3302DOI: 10.1371/journal.pone.0216216PubMedID: 31048896OAI: oai:DiVA.org:shh-3302DiVA, id: diva2:1314595
Tillgänglig från: 2019-05-09 Skapad: 2019-05-09 Senast uppdaterad: 2020-04-29Bibliografiskt granskad
Ingår i avhandling
1. Awareness of fetal movements and pregnancy outcomes
Öppna denna publikation i ny flik eller fönster >>Awareness of fetal movements and pregnancy outcomes
2020 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Stockholm: Karolinska Institutet, 2020. s. 100
Nationell ämneskategori
Reproduktionsmedicin och gynekologi
Identifikatorer
urn:nbn:se:shh:diva-3684 (URN)978-91-7831-749-3 (ISBN)
Disputation
2020-03-27, Erforssalen, Sophiahemmet Högskola, Valhallavägen 91, ingång R, Stockholm, 09:00 (Svenska)
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Tillgänglig från: 2020-04-29 Skapad: 2020-04-29 Senast uppdaterad: 2020-04-29Bibliografiskt granskad

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Akselsson, AnnaRådestad, Ingela
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