Home > Riviste > Minerva Obstetrics and Gynecology > Fascicoli precedenti > Minerva Obstetrics and Gynecology 2022 October;74(5) > Minerva Obstetrics and Gynecology 2022 October;74(5):401-9

ULTIMO FASCICOLO
 

JOURNAL TOOLS

Opzioni di pubblicazione
eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo
Share

 

ORIGINAL ARTICLE   

Minerva Obstetrics and Gynecology 2022 October;74(5):401-9

DOI: 10.23736/S2724-606X.22.04955-7

Copyright © 2022 EDIZIONI MINERVA MEDICA

lingua: Inglese

Evaluation of the relationship between reduced fetal movement and obstetric-neonatal outcomes and placental pathologies

Aysun TEKELI TAŞKÖMÜR 1 , Fatma Z. ÖZEN 2, Özlem ERTEN 3

1 Department of Gynecology and Obstetrics, Faculty of Medicine, Amasya University, Amasya, Turkey; 2 Department of Pathology, Faculty of Medicine, Amasya University, Amasya, Turkey; 3 Department of Gynecology and Obstetrics, Faculty of Medicine, Kütahya Health Sciences University, Kütahya, Turkey



BACKGROUND: Fetal movements are one of the simple methods that show the baby’s well-being. Conditions associated with decreased fetal movements have not been determined, so it is important to analyze their different aspects. This study aimed to evaluate the relationship between reduced fetal movement and obstetric-neonatal outcomes, and placental pathologies.
METHODS: In this prospective controlled study, laboratory results (blood glucose, hemoglobin, thyroid-stimulating hormone [TSH]), a non-stress test (NST), biophysical profile results, obstetric and neonatal outcomes, and placental pathological results of 74 pregnant women at 35 or more gestational weeks (to exclude the effect of prematurity on obstetric and neonatal outcomes) attending the obstetrics clinic between December 26, 2017 and January 30, 2019 with complaints of reduced fetal movement, were compared with 74 healthy pregnant women. Since prematurity and post-maturity may adversely affect obstetric-neonatal and placental pathology results, term pregnancies between 370/7-406/7 weeks were evaluated separately.
RESULTS: In the group with reduced fetal movement, the biophysical profile was lower than the controls (P=0.013). Among placental pathologies, chorangiosis and hypercoiled cord were significantly higher in the group with reduced fetal movement than controls (P<0.05). Small for gestational age (SGA) and fetal growth restriction (FGR) in this group had these pathologies. Results of women at 370/7-406/7 weeks were similar except for the additional finding of chorioamnionitis.
CONCLUSIONS: Reduced fetal movement may be associated with the low biophysical profile. In cases where fetal movement decreases, placental chorangiosis and hypercoiled cord seem to be associated with fetal growth restriction.


KEY WORDS: Fetal movement; Infant, small for gestational age; Fetal growth retardation

inizio pagina