Country of birth, educational level and other predictors of seeking care due to decreased fetal movements: an observational study in Sweden using data from a cluster-randomised controlled trial

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Rådestad, IngelaSophiahemmet Högskola (författare)

Country of birth, educational level and other predictors of seeking care due to decreased fetal movements: an observational study in Sweden using data from a cluster-randomised controlled trial

Artikel/kapitelEngelska2021

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2021-06-25
BMJ,2021

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LIBRIS-ID:oai:gup.ub.gu.se/308057
https://gup.ub.gu.se/publication/308057URI
https://doi.org/10.1136/bmjopen-2021-050621DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4168URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:147464243URI

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Språk:engelska

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Objectives To identify predictors of seeking care for decreased fetal movements and assess whether care-seeking behaviour is influenced by Mindfetalness. Design Observational study with data from a cluster-randomised controlled trial. Setting 67 maternity clinics and 6 obstetrical clinics in Sweden. Participants All pregnant women with a singleton pregnancy who contacted the obstetrical clinic due to decreased fetal movements from 32 weeks' gestation of 39 865 women. Methods Data were collected from a cluster-randomised controlled trial where maternity clinics were randomised to Mindfetalness or routine care. Mindfetalness is a self-assessment method for women to use daily to become familiar with the unborn baby's fetal movement pattern. Outcome measures Predictors for contacting healthcare due to decreased fetal movements. Results Overall, 5.2% (n=2059) of women contacted healthcare due to decreased fetal movements, among which 1287 women (62.5%) were registered at a maternity clinic randomised to Mindfetalness and 772 women (37.5%) were randomised to routine care. Predictors for contacting healthcare due to decreased fetal movements were age, country of birth, educational level, parity, prolonged pregnancy and previous psychiatric care (p<0.001). The main differences were seen among women born in Africa as compared with Swedish-born women (2% vs 6%, relative risk (RR) 0.34, 95% CI 0.25 to 0.44) and among women with low educational level compared with women with university-level education (2% vs 5.4%, RR 0.36, 95% CI 0.19 to 0.62). Introducing Mindfetalness in maternity care increased the number of women seeking care due to decreased fetal movements overall. Conclusion Women with country of birth outside Sweden and low educational level sought care for decreased fetal movements to a lesser extent compared with women born in Sweden and those with university degrees. Future research could explore whether pregnancy outcomes can be improved by motivating women in these groups to contact healthcare if they feel a decreased strength or frequency of fetal movements.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
fetal medicine
maternal medicine
prenatal diagnosis
womens experiences
risk-factors
stillbirth
pregnancy
General & Internal Medicine
Fetal medicine

Biuppslag (personer, institutioner, konferenser, titlar ...)

Pettersson, K.Karolinska Institutet (författare)
Lindgren, H.Karolinska Institutet (författare)
Skokic, Viktor,1982Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences(Swepub:gu)xskovi (författare)
Akselsson, AnnaSophiahemmet Högskola(Swepub:shh)anna.akselsson (författare)
Karolinska InstitutetSophiahemmet Högskola (creator_code:org_t)

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Ingår i:BMJ Open: BMJ11:62044-6055

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Av författaren/redakt...: Rådestad, Ingela; Pettersson, K.; Lindgren, H.; Skokic, Viktor, ...; Akselsson, Anna

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Reproduktionsmed ...

Artiklar i publikationen: BMJ Open

Av lärosätet: Göteborgs universitet; Sophiahemmet Högskola; Karolinska Institutet

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