Search: id:"swepub:oai:DiVA.org:shh-4613" >
Fetal movements :
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Bradford, Billie F
(author)
Fetal movements : A framework for antenatal conversations
- Article/chapterEnglish2023
Publisher, publication year, extent ...
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Elsevier BV,2023
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:shh-4613
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https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4613URI
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https://doi.org/10.1016/j.wombi.2022.09.003DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:152613010URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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BACKGROUND: Presentations for decreased fetal movements comprise a significant proportion of acute antenatal assessments. Decreased fetal movements are associated with increased likelihood of adverse pregnancy outcomes including stillbirth. Consensus-based guidelines recommend pregnant women routinely receive information about fetal movements, but practice is inconsistent, and the information shared is frequently not evidence-based. There are also knowledge gaps about the assessment and management of fetal movement concerns. Women have indicated that they would like more accurate information about what to expect regarding fetal movements.DISCUSSION: Historically, fetal movement information has focussed on movement counts. This is problematic, as the number of fetal movements perceived varies widely between pregnant women, and no set number of movements has been established as a reliable indicator of fetal wellbeing. Of late, maternity care providers have also advised women to observe their baby's movement pattern, and promptly present if they notice a change. However, normal fetal movement patterns are rarely defined. Recently, a body of research has emerged relating to maternal perception of fetal movement features such as strength, presence of hiccups, and diurnal pattern as indicators of fetal wellbeing in addition to frequency.CONCLUSION: Sharing comprehensive and gestation-appropriate information about fetal movements may be more satisfying for women, empowering women to identify for themselves when their baby is doing well, and importantly when additional assessment is needed. We propose a conversational approach to fetal movement information sharing, focusing on fetal movement strength, frequency, circadian pattern, and changes with normal fetal development, tailored to the individual.
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Cronin, Robin S
(author)
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Warland, Jane
(author)
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Akselsson, AnnaSophiahemmet Högskola(Swepub:shh)anna.akselsson
(author)
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Rådestad, IngelaSophiahemmet Högskola(Swepub:shh)ingela.radestad
(author)
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Heazell, Alexander Ep
(author)
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McKinlay, Christopher J D
(author)
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Stacey, Tomasina
(author)
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Thompson, John M D
(author)
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McCowan, Lesley M E
(author)
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Sophiahemmet Högskola
(creator_code:org_t)
Related titles
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In:Women and Birth: Elsevier BV36:3, s. 238-2461871-51921878-1799
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- By the author/editor
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Bradford, Billie ...
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Cronin, Robin S
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Warland, Jane
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Akselsson, Anna
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Rådestad, Ingela
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Heazell, Alexand ...
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show more...
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McKinlay, Christ ...
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Stacey, Tomasina
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Thompson, John M ...
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McCowan, Lesley ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Obstetrics Gynae ...
- Articles in the publication
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Women and Birth
- By the university
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Sophiahemmet University College
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Karolinska Institutet