{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T22:25:50Z","timestamp":1784586350988,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T00:00:00Z","timestamp":1583971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The incidence of Swedish stillbirths has varied little in the past 40\u00a0years, with a reported frequency of 400\u2010450\u00a0stillbirths\/y (approximately 4\u2030), despite increased information about fetal movement in the media and awareness among healthcare providers. The objectives of this project were to describe the outcome of pregnancies with reduced fetal movement in a Swedish context and to investigate factors associated with poor neonatal outcome in this group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>A retrospective cohort study was performed at Soder Hospital, Stockholm, Sweden. All single pregnancies at the hospital from January 2016 to December 2017 presenting with reduced fetal movement after 22 gestational weeks were included in the study. A composite neonatal outcome was constructed: 5\u2010minute Apgar score \u22647, arterial pH in the umbilical cord \u22647.10, transfer to neonatal care unit for further care or intrauterine fetal death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For women seeking care for reduced fetal movement, the occurrence of composite poor neonatal outcome ranged from 6.2% to 18.4% within different groups. The highest risk for poor neonatal outcome (18.4%) was found in the group of women with a small\u2010for\u2010gestational\u2010age fetus. Another high\u2010risk group (12.8%) was the one comprising women with normal birthweight\/large\u2010for\u2010gestational\u2010age fetuses with an in vitro fertilization pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The highest incidence of poor neonatal outcome among women with reduced fetal movement was found in the groups with small\u2010for\u2010gestational\u2010age fetuses in nulliparous and multiparous women. A routine ultrasound assessment for fetal growth in third trimester is supposedly most efficient to identify undiagnosed small for gestational age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13827","type":"journal-article","created":{"date-parts":[[2020,2,19]],"date-time":"2020-02-19T07:55:43Z","timestamp":1582098943000},"page":"1014-1021","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Risk factors for poor neonatal outcome in pregnancies with decreased fetal movements"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3497-7023","authenticated-orcid":false,"given":"Irene","family":"Sterpu","sequence":"first","affiliation":[{"name":"Department of Clinical Science and Education Karolinska Institutet Soder Hospital Stockholm Sweden"},{"name":"Department of Obstetrics and Gynecology Soder Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Pilo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Soder Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ina S.","family":"Koistinen","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Tumor and Cell Biology Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1652-8235","authenticated-orcid":false,"given":"Pelle G.","family":"Lindqvist","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education Karolinska Institutet Soder Hospital Stockholm Sweden"},{"name":"Department of Obstetrics and Gynecology Soder Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6516-1444","authenticated-orcid":false,"given":"Kristina","family":"Gemzell\u2010Danielsson","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health Karolinska Institutet and Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva W.","family":"Itzel","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education Karolinska Institutet Soder Hospital Stockholm Sweden"},{"name":"Department of Obstetrics and Gynecology Soder Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"e_1_2_10_3_1","unstructured":"Stockholm: Socialstyrelsen.Statistikdatabas f\u00f6r graviditeter f\u00f6rlossningar och nyf\u00f6dda April 2018 [Statistics database for pregnancies births and newborns April 2018]. 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