THIS STUDY ASSESSES THE ROLE OF NST IN DETECTING FETAL COMPROMISE IN CASES OF REDUCED MATERNAL PERCEPTION OF FETAL MOVEMENT

2021 ◽  
pp. 62-65
Author(s):  
Archana Kiran ◽  
Umapada Mondal ◽  
Debarshi jana
Keyword(s):  
Pregnant Women ◽  
Stress Test ◽  
Perinatal Outcomes ◽  
Fetal Monitoring ◽  
Well Being ◽  
Fetal Movement ◽  
Obstetrics And Gynaecology ◽  
Fetal Movements ◽  
Modern Era

Introduction:In modern era of medicine, antenatal fetal monitoring is an essential way that assess the fetal well being. Aims and objectives: This study was performed to test the association between non-stress test ( NST) results and fetal and perinatal outcomes in pregnant women with perceived decrease in fetal movements attending our hospital. To determine the role of Non stress test on fetal and prenatal outcome of pregnant women with perceived decrease in fetal movements attending labor room. Materials and methods: Study is carried out at 'Imambara District Hospital', at the Dept. Of obstetrics and gynaecology, Hooghly, WB. All the pregnant mother with decreased fetal movement perception in the 3rdtrimester, attending OBG (OPD) and ANC or getting admitted in Dept. OF OBSTETRICS AND GYNAECOLOGY, at IMAMBARADIST. HOSPITAL, Chinsurah, Hooghly, WB. 1st May 2018 – April 30, 2019. Conclusion: The antenatal surveillance of cases with reduced perception of fetal movement by mother with NST can effectively screen for identication of high risk foetuses and segregate the cases that are at risk for poor perinatal outcome.

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

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Shigeki Koshida ◽  
Shinsuke Tokoro ◽  
Daisuke Katsura ◽  
Shunichiro Tsuji ◽  
Takashi Murakami ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maternal Behavior ◽  
Multivariable Analysis ◽  
Perinatal Outcomes ◽  
Fetal Movement ◽  
Post Intervention ◽  
Fetal Movements ◽  
Adverse Perinatal Outcomes ◽  
The Impact ◽  
Maternal Reaction

AbstractMaternal 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.

scholarly journals True Umbilical Cord Knot Leading to Fetal Distress – an Obstetric Emergency

2021 ◽  
pp. 60-63
Author(s):  
Twisha Patel ◽  
Sandhya Pajai
Keyword(s):  
Umbilical Cord ◽  
Stress Test ◽  
Birth Asphyxia ◽  
Rare Condition ◽  
Fetal Distress ◽  
Well Being ◽  
Fetal Outcome ◽  
Fetal Movement ◽  
Normal Limits ◽  
Fetal Movements

Background: Umbilical cord true knot is a rare condition which affects about 1% of all pregnancies. Though the incidence is lower, it often goes undetected in antenatal period despite the availability of prenatal sonography and may lead to a compromised fetal outcome as presented in this case. In this case the presence of true knot of umbilical cord was missed despite routine sonography done just 1 week prior to delivery, when patient presented to casualty with complains of decreased fetal movements since 24 hours. This modality is said to be associated with adverse fetal outcome such as birth asphyxia or in adverse cases intra uterine fetal demise. Risk factors include long cord, polyhydramnios, small sized fetus, etc. Case Summary: 27 years old gravida two, para two, with 1 live issue with k/c/o hypothyroidism with previous lesions came with complaints of decreased fetal movement since 24 hours at 36 weeks 3 days of gestational period. The patient recorded regular ANC checkups and routine investigations within normal limits. Her USG scan done at 34.2 wks showing single loop of cord around neck and normal doppler findings. On examination her vitals were normal .Her abdominal examination showed uterus of 34 wks size, longitudinal lie, cephalic presentation and irritable with mild contractions present with scar tenderness . Her FHS were present/irregular/112 bpm with less variability. On p/v examination os was admitting tip of finger, cervix soft, 25% effaced, station high up, presenting part vertex, membrane present. She was advised admission and a cardio-tocography (CTG) was done which showed recurrent deep atypical variable decelerations with decreased beat to beat variability. An emergent cesarean section was taken. Newborn was a female diagnosed with true umbilical cord knot, 2 cm away from fetal insertion with cord length of 84 cm. The baby was shifted to NICU in view of respiratory distress. Conclusion: Despite of modern day ultrasonography and Doppler studies, true umbilical cord knot still remains a lesser diagnosed entity and so every pregnant patients should be monitored carefully with a watch for daily fetal movement count (DFMC)and weekly non stress test (NST) for fetal well being.

scholarly journals THE CORRELATION BETWEEN FOETAL MOVEMENTS COUNT AND FOETAL OUTCOME

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Mamta Gangwal
Keyword(s):  
High Risk ◽  
Apgar Score ◽  
Stress Test ◽  
Mode Of Delivery ◽  
Well Being ◽  
Fetal Outcome ◽  
Fetal Movement ◽  
Risk Pregnancy ◽  
Fetal Movements ◽  
Reduced Fetal Movement

Background: A reduced fetal movement is a common indication for assessment of fetal well being. A reduced fetal movement is considered as high risk pregnancy because the fetus is at high risk of hypoxia and sudden demise. Methods: Hospital based prospective study conducted at Department of Obstetrics and Gynecology, RVRS Medical College, Bhilwara. Total 130 pregnant women were included in this study. Results: 10.77% patients didn’t perceive fetal movements after admission. Out of 14 patients with absent DFMC, 6 babies (42.86%) died and 8 babies (57.14%) survived. The association betweenNon Stress Test and mode of delivery was found statistically significant. 83.33%) were admitted in NICU. Out of 24 patients presenting with non reactive NST, 20.83% (5) babies born with APGAR score more than 7 and 79.17% (19) babies had APGAR score 4-7. Conclusion: The association between NST & DFMC and fetal outcome was found statistically significant. Keywords: DFMC, NST, Fetal outcome, survived.

scholarly journals Health promotion behaviours of pregnant women and spiritual well‐being: Mediatory role of pregnancy stress, anxiety and coping ways

Nursing Open ◽  
2021 ◽  
Author(s):  
Mohammad Chehrazi ◽  
Mahbobeh Faramarzi ◽  
Somayeh Abdollahi ◽  
Maria Esfandiari ◽  
Shiva Shafie rizi
Keyword(s):  
Health Promotion ◽  
Pregnant Women ◽  
Well Being ◽  
Spiritual Well Being ◽  
And Coping

Role of takrasevan in agnimandya - a review.

2019 ◽  
Vol 7 (4) ◽  
Author(s):  
Poonam Bharat Mandhare ◽  
Deepa R. Kale
Keyword(s):  
Eating Habits ◽  
Well Being ◽  
Daily Basis ◽  
Treatment Modalities ◽  
Human Beings ◽  
Diet And Exercise ◽  
Life Threatening ◽  
Almost All ◽  
Modern Era

Background: Our health and overall well-being mainly depends on our eating habits, physical activities, sleep patterns etc. Human beings, in order to adjust themselves in the modern era, have been compiled to become fast and mechanical. Due to this they can’t give proper attention to diet and exercise. Due to this Aaharpachan Kriya gets affected leading to Agnimandya (low or decreased digestive power). According to Ayurveda Agnimandya is responsible for almost all diseases. Objectives: Objective is to study importance of Takrasevan in Agnimandya.  Material and methods: Ayurvedic / modern texts and literature, research paper. Discussion: Grahani, Atisar, Arsh etc. are the commonest diseases seen in today’s life.  These diseases are not life threatening but can cause great distress to patient.  Ayurveda gave an amount of treatment modalities; one of them is Takrasevan i. e. consumption of buttermilk. Takra having ushna virya, kashaya rasa, madhur vipak and ruksha guna properties which pacifies Vata, Pitta, Kapha and potentiate the Agni and digests as well as absorbs the food articles and treats the disease in generous way. Conclusion: By this study it can be conclude that Takra (Buttermilk) can use on daily basis as dietary product. As it contains Probiotics which facilitates proper digestion and absorption process, it maintains proper metabolism to keep person free from diseases.   

scholarly journals Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Maria Laura Annunziata ◽  
Mariamaddalena Scala ◽  
Natascia Giuliano ◽  
Salvatore Tagliaferri ◽  
Olga Carmela Maria Imperato ◽  
...  
Keyword(s):  
High Risk ◽  
Perinatal Outcomes ◽  
Approximate Entropy ◽  
Computer Assisted ◽  
Short Term ◽  
Fetal Movements ◽  
The Impact ◽  
Short Term Variability

The aim of this study was to evaluate the impact of vibroacoustic stimulation (VAS) on computerized cardiotocography short-term variability (STV) and approximate entropy (ApEn) in both low- and high-risk pregnancies. VAS was performed on 121 high- and 95 low-risk pregnancies after 10 minutes of continuous quiet, while their FHR parameters were monitored and recorded by cCTG analysis. Fetal heart rate was recorded using a computer-assisted equipment. Baseline FHR, accelerations, decelerations, STV, long-term irregularity (LTI), ApEn, and fetal movements (FMs) were calculated for defined observational periods before VAS and after 10 minutes. Data were also investigated in relationship with the perinatal outcome. In each group of patients, FHR after VAS remained almost unmodified. Fetal movements significantly increased after VAS in both groups. Results show that only in the high-risk pregnancies, the increase of STV and the decrease of ApEn after VAS were significantly associated with favorable perinatal outcomes.

scholarly journals Correlation study between increased fetal movement during the third trimester and neonatal outcome

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Cuiqin Huang ◽  
Wei Han ◽  
Yajing Fan
Keyword(s):  
Amniotic Fluid ◽  
Pregnant Women ◽  
Gestational Age ◽  
Neonatal Outcome ◽  
Stress Test ◽  
Neonatal Outcomes ◽  
Control Group ◽  
Third Trimester ◽  
The Third ◽  
Fetal Movements

Abstract Background We aimed to analyze the correlation between increased fetal movements in the third trimester and neonatal outcomes. Methods We enrolled pregnant women (n = 219) who reported increased/excessive fetal movements in the third trimester in our hospital. A control group of healthy women (n = 278) who had undergone regular childbirth and delivery in our hospital during the same period and did not report abnormal fetal movements were also recruited. All pregnant women underwent fetal non-stress test. We analyzed the neonatal weight, appearance, pulse, grimace, activity, and respiration score, degrees of amniotic fluid contamination, amniotic fluid volume, conditions of umbilical cord around the neck and cord length, and incidence of small for gestational age. In addition, the incidence of preterm delivery, cesarean section rate, postpartum hemorrhage, and other postpartum complications were also analyzed. We then analyzed the correlation between increased/excessive fetal activity and neonatal outcomes. Results Women with complaints of increased/excessive fetal movements exhibited increased fetal movements mainly around 31 and 39 weeks of gestation. Several pregnancy variables, including number of previous delivery, gestational age (less than 34 weeks and more than 37 weeks) and vaginal birth rate, were associated with increased/excessive fetal movements. In addition, women who reported increased/excessive fetal movements had higher odds of large for gestational age (LGA), particularly those with gestational age over 37 weeks. Conclusion Increased/excessive fetal movements may be used to predict adverse neonatal outcome such as LGA.

scholarly journals The prediction and assessment of the intrauterine fetal with umbilical cord around neck well-being by daily fetal movement counting chart (DFMC)

2021 ◽  
Author(s):  
zijun li ◽  
Xin Zhou ◽  
Yaqin Zheng ◽  
Min Liu ◽  
Xiaoying Fu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Flow ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Umbilical Cord ◽  
Mode Of Delivery ◽  
Well Being ◽  
Fetal Movement ◽  
Fetal Safety ◽  
Independent Risk Factors

Abstract Background Currently, FM is a sole subjective index which depends on self-assessment of pregnant women, and it can objectively reflect the well being of intrauterine fetus. It has been the focus of obstetricians' research and attention how to quantify fetal movement (FM) and change it into a relatively objective evaluation index. We sought to predict and evaluate the well being of intrauterine fetal with umbilical cord around the neck (UCAN) by performance of daily fetal movement counting chart (DFMC). Methods To retrospectively select 100-case pregnant women who met the enrolled requirements, and whether the fetal was intrauterine safety or not was predicted by analysis of the DFMC before delivery. According to the different perinatal outcomes after delivery, 100-cases pregnant women were divided into intrauterine safety (IUS) group (44 cases) and intrauterine unsafe (IUNS) group (56 cases). And the independent risk factors of fetal intrauterine safety, including maternal age, gestational week, umbilical artery systolic blood flow to diastolic blood flow ratio (S/D), amniotic fluid index (AFI), modified Fischer score of non stress test (NST), DFMC and mode of delivery were analyzed by multi-factors Binary Logistic Regression. Results Only FM and mode of delivery were independent risk factors affecting fetal safety intrauterine (all p value < 0.05). There was no remarkable difference between DFMC prediction and clinical retrospective evaluation of fetal safety in natural delivery and forceps delivery (all P value > 0.05), except in cesarean section (p < 0.05). The sensitivity, specificity and Yuden index of DFMC for predicting the intrauterine safety in natural vaginal delivery were 86.5%, 90.0% and 0.77 respectively, and in cesarean section were 66.7%, 94.6% and 0.61, respectively. Abnormal DFMC may account for the highest proportion of emergency cesarean section (87.5%, 35/40). Conclusions DFMC can effectively predict and evaluate the well being of intrauterine fetus with UCAN. At the same time, it can also provide limited clinical proofs for pregnant women with UCAN to choose model of delivery.

scholarly journals Spiritual well-being and life satisfaction in pregnant women: the mediating role of social support

2019 ◽  
Vol 2 (3) ◽  
pp. 83
Author(s):  
Maryam Taherpour ◽  
Masoumeh Niaghiha ◽  
MoradiMohammad Baglooei ◽  
Maryam Mafi
Keyword(s):  
Social Support ◽  
Life Satisfaction ◽  
Pregnant Women ◽  
Well Being ◽  
Mediating Role ◽  
Spiritual Well Being

scholarly journals Tingkat pengetahuan ibu tentang pemantauan gerakan janin pada ibu hamil dengan preeklampsia

2021 ◽  
Vol 3 (1) ◽  
pp. 37
Author(s):  
Fitri Yani ◽  
Dian Roza Adila ◽  
Riau Roslita
Keyword(s):  
Maternal Mortality ◽  
Pregnant Women ◽  
Quantitative Research ◽  
Health Workers ◽  
Early Stage ◽  
Fetal Movement ◽  
Maternal Knowledge ◽  
Maternal Morbidity And Mortality ◽  
Fetal Movements ◽  
Level Of Knowledge

Preeclampsia is a pregnancy complication that can cause fetal and maternal morbidity and mortality. One way that pregnant women can reduce the risk of pregnancy complications is by monitoring the fetus's movement. The mother must know about monitoring fetal movements by analyzing fetal movements. The mother can detect the health of the fetus from an early stage. This study aims to determine the level of knowledge about monitoring fetal movement in pregnant women with preeclampsia. This quantitative research uses a simple descriptive design. The study's location is in the inpatient room of Teratai 1 and the Arifin Ahmad Hospital's obstetrics department, Riau Province. The population is 85 people. The selected sample amounted to 46 people with accidental techniques. The data was collected using a questionnaire and then analyzed univariately. The study found that 80.4% of pregnant women lacked knowledge about monitoring fetal movements. Pregnant with preeclampsia need to pay more attention to their fetal movements by seeking more information from health services and other sources, such as social media. Lack of monitoring of fetal movements and maternal knowledge about it causes fetal and maternal mortality rates to be challenging to reduce. Therefore, health workers must be more active in educating about pregnant women's health problems with preeclampsia to achieve the SDGs target in reducing infant and maternal mortality.

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