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https://hdl.handle.net/2440/132604
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Type: | Journal article |
Title: | Are increased fetal movements always reassuring? |
Author: | Whitehead, C.L. Cohen, N. Visser, G.H.A. Farine, D. |
Citation: | The Journal of Maternal-Fetal and Neonatal Medicine, 2020; 33(21):3713-3718 |
Publisher: | Taylor & Francis |
Issue Date: | 2020 |
ISSN: | 1476-7058 1476-4954 |
Statement of Responsibility: | Clare L. Whitehead, Nicole Cohen, Gerard H. A. Visser and Dan Farine |
Abstract: | Many studies have reported on the association of reduced fetal movements and stillbirth, but little is known about excessive fetal movements and adverse pregnancy outcome. First described in 1977, sudden excessive fetal movement was noted to reflect acute fetal distress and subsequent fetal demise. Subsequently, little was reported regarding this phenomenon until 2012. However, emerging data suggest that 10-30% of the women that subsequently suffer a stillbirth describe a single episode of excessive fetal movement prior to fetal demise. These episodes are poorly understood but may reflect fetal seizure activity secondary to fetal asphyxia, cord entanglement or an adverse intrauterine environment. At present, the challenge in managing women with excessive fetal movements is a timely assessment of the fetus to identify those women at risk of adverse fetal outcomes who may benefit from intervention. |
Keywords: | Asphyxia cord entanglement fetal seizures hypoxic-ischemic encephalopathy increased fetal movement stillbirth |
Rights: | © 2019 Informa UK Limited, trading as Taylor & Francis Group |
DOI: | 10.1080/14767058.2019.1582027 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1142380 |
Published version: | http://dx.doi.org/10.1080/14767058.2019.1582027 |
Appears in Collections: | Obstetrics and Gynaecology publications |
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