{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:57:10Z","timestamp":1790276230360,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,7,11]],"date-time":"2019-07-11T00:00:00Z","timestamp":1562803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The objective of this study was to examine the outcomes and interventions in pregnant women presenting with a perception of reduced fetal movements (<jats:styled-content style=\"fixed-case\">RFM<\/jats:styled-content>), and to determine if repeated episodes of <jats:styled-content style=\"fixed-case\">RFM<\/jats:styled-content> increase the risk of adverse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>This was a retrospective cohort study conducted in six <jats:styled-content style=\"fixed-case\">NHS<\/jats:styled-content> hospitals within the Thames Valley network region, <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> and one neighboring hospital, an area with approximately 31\u00a0000 births annually. All women with a primary presentation of perceived <jats:styled-content style=\"fixed-case\">RFM<\/jats:styled-content> after 24 completed weeks of gestation during the month of October 2016 were included in the study.<\/jats:p><jats:p>Prospective records in all units were examined and individual case\u2010notes were reviewed. Pregnancy and neonatal outcomes and their relation with recurrent presentations with <jats:styled-content style=\"fixed-case\">RFM<\/jats:styled-content> were examined using relative risks with 95% CI. The main outcome measures are described. Neonatal outcomes measured were perinatal mortality, neonatal unit admission, abnormal cardiotocography at presentation, a composite severe morbidity outcome of Apgar &lt;7 at 5\u00a0minutes or arterial <jats:styled-content style=\"fixed-case\">pH<\/jats:styled-content> &lt;7.0 or encephalopathy, and birthweight. Pregnancy outcomes measured were induction of labor, cesarean section, admission and ultrasound usage rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 591 women presented with <jats:styled-content style=\"fixed-case\">RFM<\/jats:styled-content> during the month; using annual hospital birth figures, the incidence of <jats:styled-content style=\"fixed-case\">RFM<\/jats:styled-content> was estimated at 22.6% (range 14.9%\u201032.5%). More than 1 presentation of <jats:styled-content style=\"fixed-case\">RFM<\/jats:styled-content> occurred in 273 (46.2%). All 3 deaths (0.5%) were at the first presentation. More than 1 presentation was associated with higher induction rates (56.0% vs 31.9%), but no increase in any adverse outcomes including small\u2010for\u2010gestational\u2010age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Reduced fetal movements, and recurrent episodes, are common, and lead to considerable resource usage and obstetric intervention. We found no evidence to suggest that recurrent episodes increase pregnancy risk.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13671","type":"journal-article","created":{"date-parts":[[2019,5,31]],"date-time":"2019-05-31T08:10:41Z","timestamp":1559290241000},"page":"1450-1454","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["The outcomes of pregnancies with reduced fetal movements: A retrospective cohort study"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6740-585X","authenticated-orcid":false,"given":"Meena","family":"Bhatia","sequence":"first","affiliation":[{"name":"Oxford Fetal Medicine Unit Women's Center John Radcliffe Hospital Oxford University Hospitals NHS Foundation Trust Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaia","family":"Mitsi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Wexham Park Hospital Frimley Health NHS Foundation Trust Wexham Slough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Court","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Royal Berkshire NHS Foundation Trust Reading UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Premila","family":"Thampi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Milton Keynes University NHS Foundation Trust Milton Keynes UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"El\u2010Nasharty","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University Cairo Egypt"},{"name":"Department of Obstetrics and Gynecology Great Western Hospital NHS Foundation Trust Swindon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saeed","family":"Hesham","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Great Western Hospital NHS Foundation Trust Swindon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Randall","sequence":"additional","affiliation":[{"name":"Oxford Fetal Medicine Unit Women's Center John Radcliffe Hospital Oxford University Hospitals NHS Foundation Trust Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Davies","sequence":"additional","affiliation":[{"name":"Oxford Academic Health Science Network Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4462-112X","authenticated-orcid":false,"given":"Lawrence","family":"Impey","sequence":"additional","affiliation":[{"name":"Oxford Fetal Medicine Unit Women's Center John Radcliffe Hospital Oxford University Hospitals NHS Foundation Trust Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00954-X"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0602-4"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-32"},{"key":"e_1_2_10_5_1","unstructured":"O'ConnorD.NHS England. Saving Babies\u2019 Lives: A Care Bundle for reducing still birth. March 21 2016.https:\/\/www.england.nhs.uk\/mat-transformation\/saving-babies\/. Accessed November 1 2018. O'Connor Dan. 2016. Version 1 (March)."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.18830"},{"issue":"678","key":"e_1_2_10_7_1","first-page":"e1","article-title":"Number of episodes of reduced fetal movement at term: association with adverse perinatal outcome","volume":"213","author":"Scala C","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-286"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31543-5"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443610903229598"},{"key":"e_1_2_10_11_1","unstructured":"Reduced Fetal Movements.RCOG Green\u2010top Guideline No. 57 February 2011https:\/\/www.rcog.org.uk\/globalassets\/documents\/guidelines\/gtg_57.pdf. 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