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Cozzolino M, Magro Malosso ER, Perelli F, Franchi C, Coccia ME. Keep in mind foetomaternal haemorrage in case of reduced foetal movements: a successful obstetric management. J OBSTET GYNAECOL 2016; 37:100-102. [PMID: 27960562 DOI: 10.1080/01443615.2016.1225022] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Mauro Cozzolino
- a Department of Biomedical, Experimental and Clinical Sciences, Division of Obstetrics and Gynaecology , University of Florence, Careggi University Hospital , Florence , Italy
| | - Elena Rita Magro Malosso
- a Department of Biomedical, Experimental and Clinical Sciences, Division of Obstetrics and Gynaecology , University of Florence, Careggi University Hospital , Florence , Italy
| | - Federica Perelli
- a Department of Biomedical, Experimental and Clinical Sciences, Division of Obstetrics and Gynaecology , University of Florence, Careggi University Hospital , Florence , Italy
| | - Chiara Franchi
- a Department of Biomedical, Experimental and Clinical Sciences, Division of Obstetrics and Gynaecology , University of Florence, Careggi University Hospital , Florence , Italy
| | - Maria Elisabetta Coccia
- a Department of Biomedical, Experimental and Clinical Sciences, Division of Obstetrics and Gynaecology , University of Florence, Careggi University Hospital , Florence , Italy
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Abstract
Reduced fetal movement (RFM) is commonly defined as any reduction in maternal perception of fetal activity. Perceived fetal activity may be movement of limbs, trunk or head movement, but excludes fetal hiccoughs (as this is involuntary movement). The perception of fetal movement by an expectant mother is the first, and ongoing, non-sonographic indicator of fetal viability. The “normal” pattern of fetal movements varies from pregnancy to pregnancy, and often does not become established until 28 weeks’ gestation. Many babies have particularly active periods of the day, usually corresponding to periods of maternal rest and inactivity (which may in itself reflect increased maternal awareness of fetal movement). A variable percentage of sonographically observed fetal movements are perceived by prospective mothers (commonly 30–40%, although some studies report rates as high as 80%).
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