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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Fältnamn	Indikatorer	Metadata
000		04681naa a2200529 4500
001		oai:gup.ub.gu.se/308057
003		SwePub
008		240528s2021 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:shh-4168
009		oai:prod.swepub.kib.ki.se:147464243
024	7	a https://gup.ub.gu.se/publication/3080572 URI
024	7	a https://doi.org/10.1136/bmjopen-2021-0506212 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-41682 URI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1474642432 URI
040		a (SwePub)gud (SwePub)shhd (SwePub)ki
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Rådestad, Ingelau Sophiahemmet Högskola4 aut0 (Swepub:shh)ingela.radestad
245	1 0	a 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
264		c 2021-06-25
264	1	b BMJ,c 2021
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng
653		a fetal medicine
653		a maternal medicine
653		a prenatal diagnosis
653		a womens experiences
653		a risk-factors
653		a stillbirth
653		a pregnancy
653		a General & Internal Medicine
653		a Fetal medicine
700	1	a Pettersson, K.u Karolinska Institutet4 aut
700	1	a Lindgren, H.u Karolinska Institutet4 aut
700	1	a Skokic, Viktor,d 1982u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences4 aut0 (Swepub:gu)xskovi
700	1	a Akselsson, Annau Sophiahemmet Högskola4 aut0 (Swepub:shh)anna.akselsson
710	2	a Karolinska Institutetb Sophiahemmet Högskola4 org
773	0	t BMJ Opend : BMJg 11:6q 11:6x 2044-6055
856	4	u https://bmjopen.bmj.com/content/bmjopen/11/6/e050621.full.pdf
856	4	u https://shh.diva-portal.org/smash/get/diva2:1584217/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://gup.ub.gu.se/publication/308057
856	4 8	u https://doi.org/10.1136/bmjopen-2021-050621
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4168
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:147464243

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

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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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