{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T01:08:25Z","timestamp":1773364105369,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,12,8]],"date-time":"2015-12-08T00:00:00Z","timestamp":1449532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Decreased sensation of fetal movements (<jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content>) is a common maternal complaint. Thus, we aimed to evaluate the association between <jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content> and pregnancy outcome in singleton gestation at term according to parity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study of singleton pregnancies at term between 2008 and 2013. Eligibility was limited to women carrying a fetus with no known structural or chromosomal anomalies, at 37+0\/7 to 42+0\/7\u00a0weeks of gestation. Women presenting to the delivery ward with <jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content> were compared with women without similar complaints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 12,564 nulliparous women and 25,292 multiparous women gave birth during the study period; of them, 300 nulliparous women (2.4%) and 525 multiparous women (2.1%) complained of <jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content>. For nulliparous women, after adjusting for potential confounders, <jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content> was associated with antepartum fetal death (aOR 4.6 [95% CI 1.1\u201319.8]), cesarean delivery (<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>) (aOR 1.3 [95% CI 1.01\u20131.8]), 1\u2010minute Apgar score less than\u00a07 (aOR 2.3 [95% CI 1.5\u20133.5]) and neonatal seizures (aOR 3.2 [95% CI 1.3\u20138.2]). For multiparous women, <jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content> was associated with unscheduled <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> (aOR 2.7 [95% CI 1.6\u20134.6]) and <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> indicated by intermediate\/abnormal fetal heart rate tracing (aOR 4.8 [95% CI 2.8\u20138.4]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content> carries different outcomes according to parity. Although for nulliparous women, DFM is associated with increased risk of <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> and immediate adverse perinatal outcome, for multiparous women it is associated with increased risk for <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>, with no immediate increased risk for adverse perinatal outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12205","type":"journal-article","created":{"date-parts":[[2015,12,9]],"date-time":"2015-12-09T03:05:11Z","timestamp":1449630311000},"page":"42-48","source":"Crossref","is-referenced-by-count":18,"title":["Pregnancy Outcome in Women with Decreased Sensation of Fetal Movements at Term According to Parity"],"prefix":"10.1111","volume":"43","author":[{"given":"Amir","family":"Aviram","sequence":"first","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center Petah Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Ramat\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anat","family":"Shmueli","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center Petah Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Ramat\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liran","family":"Hiersch","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center Petah Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Ramat\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Ashwal","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center Petah Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Ramat\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnon","family":"Wiznitzer","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center Petah Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Ramat\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yariv","family":"Yogev","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center Petah Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Ramat\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Hadar","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center Petah Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Ramat\u2010Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,12,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2014.930108"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610801912618"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0034851"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2010.08.020"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-124"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/dev.10062"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(91)90052-M"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.929112"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(82)90349-0"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/10641950109152635"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181841395"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000444441.04111.1d"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2013.11.003"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e3181a8237a"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016340903348375"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443610903229598"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0039784"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767050903511578"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.13220"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.07.002"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2011.597897"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.122291"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbirt.12205","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbirt.12205","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12205","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T08:47:12Z","timestamp":1695545232000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12205"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,8]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1111\/birt.12205"],"URL":"https:\/\/doi.org\/10.1111\/birt.12205","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,8]]}}}