{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T10:10:52Z","timestamp":1790158252099,"version":"4.1.0"},"reference-count":44,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background: Maternal perception of fetal movement (FM) is an indirect indicator of fetal well-being. The aim was to investigate the relationship between computerized cardiotocography (cCTG) parameters and maternal perception of FM. Methods: We conducted a prospective, multicentric observational study at two tertiary referral hospitals. After cCTG, all women completed a questionnaire assessing maternal perception of FM and fetal hiccups. The primary outcome was the relation between multiple cCTG parameters and maternal perceptions of FM. Results: We included 419 patients. Women who reported increased FM frequency perception during the previous two weeks had an increased number of accelerations (p = 0.0099). The Dawes\u2013Redman criteria need more time to be satisfied in pregnant women with no hiccup perception (p = 0.0063). These associations were confirmed after adjustment for pre-pregnancy BMI, gestational diabetes, and gestational hypertension. The association between two episodes of reduced FM after 26 weeks and high long-term variability (p = 0.032) was not confirmed after adjustment. No other statistical correlation was observed. Conclusions: In this pilot multicenter study, fetal well-being assessed with cCTG was associated with increased perceived FM and perception of fetal hiccups. In future phases, this research will integrate maternal FM perception, cCTG, prenatal ultrasound, and neonatal outcomes to provide a comprehensive evaluation of the maternal perception of FM.<\/jats:p>","DOI":"10.3390\/diagnostics16193081","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:20:46Z","timestamp":1790155246000},"page":"3081","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Maternally Perceived Fetal Movement and Computerized Cardiotocography Parameters: What\u2019s the Link? A Multicenter Pilot Study on Fetal Health"],"prefix":"10.3390","volume":"16","author":[{"given":"Marco","family":"La Verde","sequence":"first","affiliation":[{"name":"Department of Woman, Child and General and Specialized Surgery, University of Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8853-5760","authenticated-orcid":false,"given":"Marco","family":"Torella","sequence":"additional","affiliation":[{"name":"Department of Woman, Child and General and Specialized Surgery, University of Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Pisani","sequence":"additional","affiliation":[{"name":"Department of Woman, Child and General and Specialized Surgery, University of Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenza","family":"Driul","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy"},{"name":"Department of Medicine, University of Udine, 33100 Udine, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0790-892X","authenticated-orcid":false,"given":"Mario","family":"Fordellone","sequence":"additional","affiliation":[{"name":"Medical Statistics Unit, University of Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7092-387X","authenticated-orcid":false,"given":"Petra","family":"Hanul\u00edkov\u00e1","sequence":"additional","affiliation":[{"name":"Institute for the Care of Mother and Child, Third Faculty of Medicine, Charles University, 147 00 Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Pasquini","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit, Department for Woman and Child Health, Careggi University Hospital, 50134 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana","family":"Mariani","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy"},{"name":"Department of Obstetrics and Gynecology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6322-607X","authenticated-orcid":false,"given":"Mattia","family":"Dominoni","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy"},{"name":"Department of Obstetrics and Gynecology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0812-8995","authenticated-orcid":false,"given":"Barbara","family":"Gardella","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy"},{"name":"Department of Obstetrics and Gynecology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1016\/S0140-6736(18)31930-5","article-title":"Short-term and long-term effects of caesarean section on the health of women and children","volume":"392","author":"Sandall","year":"2018","journal-title":"Lancet"},{"key":"ref_2","first-page":"702","article-title":"Relationship of Cardiotocography and Umbilicalartery Doppler Findings with Perinatal Outcome in Low Risk Pregnancies with Decreased Fetal Movements","volume":"13","author":"Das","year":"2023","journal-title":"Eur. 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