{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T05:18:21Z","timestamp":1735622301286,"version":"3.32.0"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Fetal movements are often used as a surrogate for fetal wellbeing. Previous research suggests a link between maternal perception of decreased fetal movements (DFM) and small\u2010for\u2010gestational\u2010age (SGA) infants. The aim of this study was to investigate the association between maternal presentation with DFM and birth\u2010weight centile categories at a large Australian perinatal center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study of non\u2010anomalous singleton infants born at \u2265\u200928\u2009+\u20090\u2009weeks' gestation between January 2016 and October 2020 at the Mater Mothers' Hospital in Brisbane, Australia. The primary outcome was the rate of DFM according to birth\u2010weight centile category. Maternal demographic characteristics included age, body mass index, ethnicity, parity, medical conditions and previous stillbirth. The association between DFM and birth\u2010weight centile was evaluated using adjusted multinomial regression models. Robust standard errors were used to account for clustering at the patient level. Wald tests and Akaike's and Bayesian information criteria were used to evaluate models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over the 5\u2010year study period, 45\u2009042 women met the inclusion criteria. Of these, 6690 (14.9%) women presented with DFM. Of the DFM cohort, 80.9% (5411\/6690) had only one presentation with DFM, and 19.1% (1279\/6690) had two or more presentations. The overall stillbirth rate was similar in women with DFM (0.1% (8\/6690)) and those without DFM (0.1% (50\/38\u2009352)). There was no association between DFM (either single or multiple) and infant birth\u2010weight centile.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study suggests that presentation with DFM is not associated with infant size. Clinicians should consider additional risk factors and the overall clinical context when deciding appropriate management. DFM is not necessarily an indication for an immediate or urgent ultrasound scan to assess fetal size. \u00a9 2024 The Authors. <jats:italic>Ultrasound in Obstetrics &amp; Gynecology<\/jats:italic> published by John Wiley &amp; Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.27587","type":"journal-article","created":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T19:33:14Z","timestamp":1705606394000},"page":"79-86","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Maternal perception of decreased fetal movements is independent of infant size"],"prefix":"10.1002","volume":"64","author":[{"given":"R.","family":"Stoke","sequence":"first","affiliation":[{"name":"Mater Research Institute University of Queensland  South Brisbane Queensland Australia"},{"name":"Faculty of Medicine University of Queensland  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Crawford","sequence":"additional","affiliation":[{"name":"Mater Research Institute University of Queensland  South Brisbane Queensland Australia"},{"name":"Faculty of Medicine University of Queensland  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Jardine","sequence":"additional","affiliation":[{"name":"Mater Research Institute University of Queensland  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0832-4811","authenticated-orcid":false,"given":"S.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Mater Research Institute University of Queensland  South Brisbane Queensland Australia"},{"name":"Faculty of Medicine University of Queensland  South Brisbane Queensland Australia"},{"name":"Centre for Maternal and Fetal Medicine Mater Mothers' Hospital  South Brisbane Queensland Australia"},{"name":"NHMRC Stillbirth Centre for Research Excellence, Mater Research Institute University of Queensland  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_8_2_1","DOI":"10.5455\/msm.2020.32.227-234"},{"doi-asserted-by":"publisher","key":"e_1_2_8_3_1","DOI":"10.1001\/jamanetworkopen.2021.5071"},{"issue":"6","key":"e_1_2_8_4_1","article-title":"Antepartum Fetal Surveillance: ACOG Practice Bulletin, Number 229","volume":"137","author":"ACOG","year":"2021","journal-title":"Obstet Gynecol"},{"unstructured":"RCOG.Reduced Fetal Movements Green\u2010Top Guideline No. 57. 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