Maternally perceived fetal movement patterns: The influence of body mass index.

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dc.contributor.author Bradford, Billie en
dc.contributor.author Cronin, Robin en
dc.contributor.author McKinlay, Christopher en
dc.contributor.author Thompson, John en
dc.contributor.author McCowan, Lesley en
dc.date.accessioned 2020-01-12T23:01:33Z en
dc.date.issued 2019-11-15 en
dc.identifier.issn 0378-3782 en
dc.identifier.uri http://hdl.handle.net/2292/49625 en
dc.description.abstract BACKGROUND:Maternal reports of decreased fetal movements are associated with adverse pregnancy outcome, but there are conflicting data about perception of fetal movements in women with obesity. AIM:To compare perceived fetal movements in women with obesity (body mass index [BMI] ≥30 kg/m2) and women with normal BMI (<25 kg/m2). MATERIAL AND METHODS:Data from two separate pregnancy studies were used for this analysis; the Healthy Mums and Babies (HUMBA) trial, which recruited women with obesity and the Multicentre Stillbirth Study (MCSS), which recruited women from a general obstetric population. Fetal movement data were collected using identical interviewer-administered questionnaire in each study. We compared fetal movement strength, frequency and pattern between HUMBA and MCSS women with obesity and MCSS women with normal BMI. RESULTS:Participants were 233 women with obesity and 149 with normal BMI. Mean (SD) gestation at interview was similar between groups (36.9 [2.2] vs 36.6 [0.9], P = 0.06). Perceived fetal movement strength and frequency did not differ between groups. In both women with obesity and normal BMI, a diurnal fetal movement pattern was present, with the majority reporting strong or moderate movements in the evening (88.7% vs 99.3%) and at night-time (92.1% vs 93.1%). Women with obesity, were more likely to report strong fetal movements when hungry (29.1% vs 17.7%, P = 0.001) and quiet fetal movements after eating (47.4% vs 32.0%, P = 0.001). CONCLUSIONS:In women with obesity compared to normal BMI, strength and frequency of fetal movements were similar, although patterns were altered in relation to maternal meals. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Early human development en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Maternally perceived fetal movement patterns: The influence of body mass index. en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.earlhumdev.2019.104922 en
pubs.begin-page 104922 en
pubs.volume 140 en
dc.rights.holder Copyright: The author en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article en
pubs.elements-id 788179 en
pubs.org-id Liggins Institute en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Obstetrics and Gynaecology en
pubs.org-id Paediatrics Child & Youth Hlth en
dc.identifier.eissn 1872-6232 en
pubs.record-created-at-source-date 2019-11-19 en
pubs.dimensions-id 31739267 en


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