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  • 1.
    Akselsson, A
    et al.
    Karolinska Institutet / Sophiahemmet University.
    Lindgren, H
    Karolinska Institutet.
    Georgsson, Susanne
    The Swedish Red Cross University College. Karolinska Institutet.
    Pettersson, K
    Karolinska Institutet.
    Steineck, G
    Karolinska Institutet.
    Skokic, V
    University of Gothenburg.
    Rådestad, I
    Sophiahemmet University.
    Mindfetalness to increase women's awareness of fetal movements and pregnancy outcomes: a cluster-randomised controlled trial including 39 865 women2020In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To examine whether a method for raising women's awareness of fetal movements, Mindfetalness, can affect pregnancy outcomes.

    DESIGN: Cluster-randomised controlled trial.

    SETTING: Sixty-seven maternity clinics in Stockholm, Sweden.

    POPULATION: Women with singleton pregnancy with birth from 32 weeks' gestation.

    METHODS: Women registered at a clinic randomised to Mindfetalness were assigned to receive a leaflet about Mindfetalness (n = 19 639) in comparison with routine care (n = 20 226). Data were collected from a population-based register.

    MAIN OUTCOME MEASURES: Apgar score <7 at 5 minutes after birth, visit to healthcare due to decrease in fetal movements. Other outcomes: Apgar score <4 at 5 minutes after birth, small-for-gestational-age and mode of delivery.

    RESULTS: No difference (1.1 versus 1.1%, relative risk [RR] 1.0; 95% CI 0.8-1.2) was found between the Mindfetalness group and the Routine care group for a 5-minute Apgar score <7. Women in the Mindfetalness group contacted healthcare more often due to decreased fetal movements (6.6 versus 3.8%, RR 1.72; 95% CI 1.57-1.87). Mindfetalness was associated with a reduction of babies born small-for-gestational-age (RR 0.95, 95% CI 0.90-1.00), babies born after gestational week 41+6 (RR 0.91, 95% CI 0.83-0.98) and caesarean sections (19.0 versus 20.0%, RR 0.95; 95% CI 0.91-0.99).

    CONCLUSIONS: Mindfetalness did not reduce the number of babies born with an Apgar score <7. However, Mindfetalness was associated with the health benefits of decreased incidence of caesarean section and fewer children born small-for-gestational-age.

    TWEETABLE ABSTRACT: Introducing Mindfetalness in maternity care decreased caesarean sections but had no effect on the occurrence of Apgar scores <7.

  • 2.
    Wallin Lundell, Inger
    et al.
    Uppsala University.
    Frans, Örjan
    Uppsala University.
    Helström, Lotti
    Linköping University.
    Högberg, Ulf
    Uppsala University.
    Moby, L
    Uppsala University.
    Nyberg, S
    Umeå University.
    Sundström Poromaa, Inger
    Uppsala University.
    Sydsjö, Gunilla
    Linköping University.
    Georgsson Öhman, Susanne
    Sophiahemmet Högskola / Karolinska Institutet.
    Östlund, I
    Örebro University.
    Skoog Svanberg, Agneta
    Uppsala University.
    Post-traumatic stress disorder among women requesting induced termination of pregnancy: a Swedish multi-centre study2012In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 119, no S2, p. 2-2Article in journal (Other academic)
1 - 2 of 2
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