{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:31:51Z","timestamp":1792607511451,"version":"4.5.0"},"reference-count":41,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,2,8]],"date-time":"2020-02-08T00:00:00Z","timestamp":1581120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine whether a method for raising women's awareness of fetal movements, Mindfetalness, can affect pregnancy outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cluster\u2010randomised controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Sixty\u2010seven maternity clinics in Stockholm, Sweden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women with singleton pregnancy with birth from 32\u00a0weeks\u2019 gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women registered at a clinic randomised to Mindfetalness were assigned to receive a leaflet about Mindfetalness (<jats:italic>n<\/jats:italic>\u00a0=\u00a019\u00a0639) in comparison with routine care (<jats:italic>n<\/jats:italic>\u00a0=\u00a020\u00a0226). Data were collected from a population\u2010based register.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Apgar score &lt;7 at 5\u00a0minutes after birth, visit to healthcare due to decrease in fetal movements. Other outcomes: Apgar score &lt;4 at 5\u00a0minutes after birth, small\u2010for\u2010gestational\u2010age and mode of delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No difference (1.1 versus 1.1%, relative risk [RR] 1.0; 95% CI 0.8\u20131.2) was found between the Mindfetalness group and the Routine care group for a 5\u2010minute Apgar score &lt;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\u20131.87). Mindfetalness was associated with a reduction of babies born small\u2010for\u2010gestational\u2010age (RR 0.95, 95% CI 0.90\u20131.00), babies born after gestational week 41<jats:sup>+6<\/jats:sup> (RR 0.91, 95% CI 0.83\u20130.98) and caesarean sections (19.0 versus 20.0%, RR 0.95; 95% CI 0.91\u20130.99).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Mindfetalness did not reduce the number of babies born with an Apgar score &lt;7. However, Mindfetalness was associated with the health benefits of decreased incidence of caesarean section and fewer children born small\u2010for\u2010gestational\u2010age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Introducing Mindfetalness in maternity care decreased caesarean sections but had no effect on the occurrence of Apgar scores &lt;7.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16104","type":"journal-article","created":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T10:50:56Z","timestamp":1579776656000},"page":"829-837","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Mindfetalness to increase women\u2019s awareness of fetal movements and pregnancy outcomes: a cluster\u2010randomised controlled trial including 39\u00a0865 women"],"prefix":"10.1111","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0830-217X","authenticated-orcid":false,"given":"A","family":"Akselsson","sequence":"first","affiliation":[{"name":"Department of Women and Children\u2019s Health Karolinska Institutet Sophiahemmet University Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4875-1407","authenticated-orcid":false,"given":"H","family":"Lindgren","sequence":"additional","affiliation":[{"name":"Department of Women and Children\u2019s Health Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2626-2335","authenticated-orcid":false,"given":"S","family":"Georgsson","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology Karolinska Institutet The Swedish Red Cross University College Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Pettersson","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0787-3969","authenticated-orcid":false,"given":"G","family":"Steineck","sequence":"additional","affiliation":[{"name":"Sahlgrenska Academy Institute of Clinical Sciences University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Skokic","sequence":"additional","affiliation":[{"name":"Sahlgrenska Academy Institute of Clinical Sciences University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"R\u00e5destad","sequence":"additional","affiliation":[{"name":"Sophiahemmet University Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12151"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080004321.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0602-4"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2017.02.007"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1555-6"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1074-x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340801902034"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.01026.x"},{"key":"e_1_2_6_10_1","first-page":"191","article-title":"Awareness of fetal movements and care package to reduce fetal mortality (AFFIRM): a stepped wedge, cluster\u2010randomised trial","volume":"74","author":"Norman JE","year":"2019","journal-title":"Lancet"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31720-3"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2018.12.001"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(89)90535-7"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-32"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2012.01.002"},{"key":"e_1_2_6_16_1","unstructured":"Graviditetsregistret. 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