{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:04:29Z","timestamp":1784545469183,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the association between polyhydramnios and maternal perception of decreased fetal movements (DFM) and to explore whether a volume\u2010dependent threshold exists for this effect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 7215 singleton pregnancies (2006\u20132025). The exposed group comprised 2066 women with polyhydramnios (amniotic fluid index [AFI] &gt;25\u2009cm or maximal vertical pocket &gt;8\u2009cm), and the unexposed group included 5149 women with normal amniotic fluid volume. DFM rates were compared across gestational age groups and polyhydramnios severity. Adjusted odds ratios (aOR) were estimated using multivariable logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall rate of DFM did not differ significantly between the polyhydramnios and comparison groups (7.5% versus 7.9%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.55; aOR 0.99, 95% confidence interval 0.81\u20131.22). In exploratory subgroup analyses, women with moderate\u2010to\u2010severe polyhydramnios (AFI \u226530\u2009cm) reported DFM more frequently than those with mild polyhydramnios (13.7% versus 7.2%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.014). DFM was also more frequently reported in the polyhydramnios group before term (early third trimester 0.8% versus 0.3%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.006; late preterm 4.5% versus 1.9%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas this pattern reversed at term. Polyhydramnios was associated with higher rates of cesarean delivery (36.4% versus 27.5%), neonatal hypoglycemia (4.3% versus 2.1%), and neonatal intensive care unit admission (8.3% versus 6.7%; all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overall DFM rates were similar between groups. In exploratory, hypothesis\u2010generating analyses, high amniotic fluid volumes (AFI \u226530\u2009cm) were associated with more frequently reported DFM, possibly reflecting altered maternal perception. Reports of DFM in moderate\u2010to\u2010severe polyhydramnios may warrant increased vigilance and objective assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71250","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:17:46Z","timestamp":1784542666000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between polyhydramnios and decreased fetal movements: A retrospective cohort study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9925-3847","authenticated-orcid":false,"given":"Amir","family":"Wolfovitz","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Idan","family":"Shamay","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naphtali","family":"Justman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuelle","family":"Almog","sequence":"additional","affiliation":[{"name":"The George S. Wise Faculty of Life Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nizar","family":"Khatib","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"},{"name":"The Ruth &amp; Bruce Rappaport Faculty of Medicine Technion\u2014Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ido","family":"Solt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"},{"name":"The Ruth &amp; Bruce Rappaport Faculty of Medicine Technion\u2014Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaniv","family":"Zipori","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"},{"name":"The Ruth &amp; Bruce Rappaport Faculty of Medicine Technion\u2014Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"issue":"4","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.5071","article-title":"Evaluation of pregnancy outcomes among women with decreased fetal movements","volume":"4","author":"Turner JM","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"1","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-019-2575-1","article-title":"My Baby's movements: a stepped wedge cluster randomised controlled trial to raise maternal awareness of fetal movements during pregnancy study protocol","volume":"19","author":"Flenady V","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2022.100782","article-title":"Decreased fetal movements\u2014the utility of ultrasound to identify infants at risk and prevent stillbirth is poor","volume":"5","author":"Turner JM","year":"2023","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"2","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1080\/01443610801912618","article-title":"Methods of fetal movement counting and the detection of fetal compromise","volume":"28","author":"Mangesi L","year":"2008","journal-title":"J Obstet Gynaecol"},{"issue":"7","key":"e_1_2_10_6_1","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1111\/1471-0528.18132","article-title":"Risk factors for adverse pregnancy outcomes in reduced fetal movement: an IPD meta\u2010analysis","volume":"132","author":"Lu Y","year":"2025","journal-title":"BJOG"},{"issue":"21","key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"3699","DOI":"10.1080\/14767058.2019.1583732","article-title":"Counting fetal movements of small\u2010for\u2010gestational infants using a fetal movement acceleration measurement recorder","volume":"33","author":"Morita M","year":"2020","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"1","key":"e_1_2_10_8_1","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-019-46323-4","article-title":"Association between maternally perceived quality and pattern of fetal movements and late stillbirth","volume":"9","author":"Bradford BF","year":"2019","journal-title":"Sci Rep"},{"issue":"4","key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1007\/s00404-020-05516-3","article-title":"Reduced fetal movements at term, low\u2010risk pregnancies: is it associated with adverse pregnancy outcomes? Ten years of experience from a single tertiary center","volume":"301","author":"Levy M","year":"2020","journal-title":"Arch Gynecol Obstet"},{"issue":"11","key":"e_1_2_10_10_1","doi-asserted-by":"crossref","first-page":"1586","DOI":"10.1111\/aogs.14652","article-title":"Does fetal size affect maternal perception of fetal movements? Evidence from an individual participant data meta\u2010analysis","volume":"102","author":"Thompson JMD","year":"2023","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"10158","key":"e_1_2_10_11_1","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.1016\/S0140-6736(18)31543-5","article-title":"Awareness of fetal movements and care package to reduce fetal mortality (AFFIRM): a stepped wedge, cluster\u2010randomised trial","volume":"392","author":"Norman JE","year":"2018","journal-title":"Lancet"},{"issue":"5","key":"e_1_2_10_12_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0216216","article-title":"Increased labor induction and women presenting with decreased or altered fetal movements\u2014a population\u2010based survey","volume":"14","author":"Akselsson A","year":"2019","journal-title":"PLoS One"},{"issue":"8","key":"e_1_2_10_13_1","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1111\/aogs.13827","article-title":"Risk factors for poor neonatal outcome in pregnancies with decreased fetal movements","volume":"99","author":"Sterpu I","year":"2020","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"4","key":"e_1_2_10_14_1","doi-asserted-by":"crossref","first-page":"B2","DOI":"10.1016\/j.ajog.2018.07.016","article-title":"SMFM consult series #46: evaluation and management of polyhydramnios","volume":"219","author":"Dashe JS","year":"2018","journal-title":"Am J Obstet Gynecol"},{"issue":"1","key":"e_1_2_10_15_1","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-022-04625-y","article-title":"Comparing pregnancy, childbirth, and neonatal outcomes in women with idiopathic polyhydramnios: a prospective cohort study","volume":"22","author":"Vanda R","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"e_1_2_10_16_1","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-024-54840-0","article-title":"Obstetric and neonatal outcomes in pregnant women with idiopathic polyhydramnios: a systematic review and meta\u2010analysis","volume":"14","author":"Kechagias KS","year":"2024","journal-title":"Sci Rep"},{"issue":"6","key":"e_1_2_10_17_1","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics12061340","article-title":"Transient polyhydramnios during pregnancy complicated with gestational diabetes mellitus: case report and systematic review","volume":"12","author":"Preda A","year":"2022","journal-title":"Diagnostics"},{"issue":"3","key":"e_1_2_10_18_1","doi-asserted-by":"crossref","DOI":"10.3390\/jcm12030981","article-title":"Term idiopathic polyhydramnios and labor complications","volume":"12","author":"Bas\u2010Lando M","year":"2023","journal-title":"J Clin Med"},{"issue":"3","key":"e_1_2_10_19_1","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1002\/uog.24973","article-title":"Idiopathic polyhydramnios and pregnancy outcome: systematic review and meta\u2010analysis","volume":"61","author":"Pagan M","year":"2023","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"7","key":"e_1_2_10_20_1","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1097\/OGX.0b013e3181a8237a","article-title":"Factors affecting maternal perception of fetal movement","volume":"64","author":"Hijazi ZR","year":"2009","journal-title":"Obstet Gynecol Surv"},{"issue":"2","key":"e_1_2_10_21_1","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/0002-9378(89)90527-9","article-title":"Normal amniotic fluid volume changes throughout pregnancy","volume":"161","author":"Brace RA","year":"1989","journal-title":"Am J Obstet Gynecol"},{"issue":"1","key":"e_1_2_10_22_1","first-page":"134","article-title":"Hydramnios: anomaly prevalence and sonographic detection","volume":"100","author":"Dashe JS","year":"2002","journal-title":"Obstet Gynecol"},{"issue":"6","key":"e_1_2_10_23_1","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1007\/s00404-019-05330-6","article-title":"The association between pregnancies complicated with isolated polyhydramnios or oligohydramnios and offspring long\u2010term gastrointestinal morbidity","volume":"300","author":"Amitai A","year":"2019","journal-title":"Arch Gynecol Obstet"},{"issue":"6","key":"e_1_2_10_24_1","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1002\/uog.10093","article-title":"Maximal amniotic fluid index as a prognostic factor in pregnancies complicated by polyhydramnios","volume":"39","author":"Pri\u2010Paz S","year":"2012","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"12","key":"e_1_2_10_25_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2023.101192","article-title":"Amnioreduction vs expectant management in pregnancies with moderate to severe polyhydramnios","volume":"5","author":"Soni S","year":"2023","journal-title":"Am J Obstet Gynecol MFM"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71250","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.71250","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:17:50Z","timestamp":1784542670000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.71250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,20]]},"references-count":24,"alternative-id":["10.1002\/ijgo.71250"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.71250","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,20]]},"assertion":[{"value":"2026-02-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ijgo.71250"}}