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Fetal movement in late pregnancy - a content analysis of women's experiences of how their unborn baby moved less or differently
Karolinska Institutet / Sophiahemmet Högskola.ORCID-id: 0000-0002-3368-9743
Karolinska Institutet / Sophiahemmet Högskola.ORCID-id: 0000-0003-2626-2335
Karolinska Intitutet.
Sophiahemmets Högskola.
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2016 (Engelska)Ingår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 16, nr 1, artikel-id 127Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Pregnant women sometimes worry about their unborn baby's health, often due to decreased fetal movements. The aim of this study was to examine how women, who consulted health care due to decreased fetal movements, describe how the baby had moved less or differently.

METHODS: Women were recruited from all seven delivery wards in Stockholm, Sweden, during 1/1 - 31/12 2014. The women completed a questionnaire after it was verified that the pregnancy was viable. A modified content analysis was used to analyse 876 questionnaires with the women's responses to, "Try to describe how your baby has moved less or had changes in movement".

RESULTS: Four categories and six subcategories were identified: "Frequency" (decreased frequency, absence of kicks and movement), "Intensity" (weaker fetal movements, indistinct fetal movements), "Character" (changed pattern of movements, slower movements) and "Duration". In addition to the responses categorised in accordance with the question, the women also mentioned how they had tried to stimulate the fetus to move and that they had difficulty in distinguishing fetal movements from contractions. Further, they described worry due to incidents related to changed pattern of fetal movements.

CONCLUSION: Women reported changes in fetal movement concerning frequency, intensity, character and duration. The challenge from a clinical perspective is to inform pregnant women about fetal movements with the goal of minimizing unnecessary consultations whilst at the same time diminishing the length of pre-hospital delay if the fetus is at risk of fetal compromise.

TRIAL REGISTRATION: Not applicable.

Ort, förlag, år, upplaga, sidor
2016. Vol. 16, nr 1, artikel-id 127
Nyckelord [en]
Content analysis, Decreased fetal movements, Fetal movement, Pregnancy
Nationell ämneskategori
Reproduktionsmedicin och gynekologi
Identifikatorer
URN: urn:nbn:se:rkh:diva-2887DOI: 10.1186/s12884-016-0922-zPubMedID: 27245990OAI: oai:DiVA.org:rkh-2887DiVA, id: diva2:1324897
Tillgänglig från: 2019-06-14 Skapad: 2019-06-14 Senast uppdaterad: 2019-06-18Bibliografiskt granskad

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Georgsson, Susanne

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Linde, AndersGeorgsson, SusanneRådestad, Ingela
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BMC Pregnancy and Childbirth
Reproduktionsmedicin och gynekologi

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