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Fetal movement counting is associated with the reduction of delayed maternal reaction after perceiving decreased fetal movements: a prospective study.

KOSHIDA Shigeki 70372547 0000-0003-1776-8326 TOKORO Shinsuke 20613475 KATSURA Daisuke 0000-0002-5357-5700 TSUJI Shunichiro 30601546 0000-0003-3945-6817 MURAKAMI Takashi 20240666 0000-0002-0250-0856 TAKAHASHI Kentaro 20163256 0000-0001-5420-0356 滋賀医科大学

2021.05.24

概要

Maternal perception of decreased fetal movement is associated with adverse perinatal outcomes. Although there have been several studies on interventions related to the fetal movements count, most focused on adverse perinatal outcomes, and little is known about the impact of the fetal movement count on maternal behavior after the perception of decreased fetal movement. We investigated the impact of the daily fetal movement count on maternal behavior after the perception of decreased fetal movement and on the stillbirth rate in this prospective population-based study. Pregnant women in Shiga prefecture of Japan were asked to count the time of 10 fetal movements from 34 weeks of gestation. We analyzed 101 stillbirths after the intervention compared to 121 stillbirths before the intervention. In multivariable analysis, maternal delayed visit to a health care provider after the perception of decreased fetal movement significantly reduced after the intervention (aOR 0.31, 95% CI 0.11-0.83). Our regional stillbirth rates in the pre-intervention and post-intervention periods were 3.06 and 2.70 per 1000 births, respectively. Informing pregnant women about the fetal movement count was associated with a reduction in delayed maternal reaction after the perception of decreased fetal movement, which might reduce stillbirths.

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Acknowledgements

We thank all of the members who participate our study intervention. We also would like to thank all members

reviewed stillbirth cases in our region. The present study was supported by JSPS KAKENHI (Grant No. JP

15K08803)

Scientific Reports |

(2021) 11:10818 |

https://doi.org/10.1038/s41598-021-90240-4

Vol.:(0123456789)

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Author contributions

Conceptualization: S.K., K.T. Interpretation of the results: S.T., D.K., T.M. Formal analysis: S.K., S.T. Preparation

of original draft: S.K., K.T. Review and editing: S.T., D.K., T.M. Approval of the final version of this manuscript:

all authors.

Competing interests The authors declare no competing interests.

Additional information

Correspondence and requests for materials should be addressed to S.K.

Reprints and permissions information is available at www.nature.com/reprints.

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and

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