The management of reduced fetal movements in an uncomplicated pregnancy at term: results from an anonymous national online survey in the Republic of Ireland.

Hdl Handle:
http://hdl.handle.net/10147/189976
Title:
The management of reduced fetal movements in an uncomplicated pregnancy at term: results from an anonymous national online survey in the Republic of Ireland.
Authors:
Unterscheider, J; Horgan, R P; Greene, R A; Higgins, J R
Affiliation:
The Anu Research Centre, Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland. julia_unterscheider@hotmail.com
Citation:
The management of reduced fetal movements in an uncomplicated pregnancy at term: results from an anonymous national online survey in the Republic of Ireland. 2010, 30 (6):578-82 J Obstet Gynaecol
Journal:
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
Issue Date:
2010
URI:
http://hdl.handle.net/10147/189976
DOI:
10.3109/01443615.2010.481733
PubMed ID:
20701506
Additional Links:
http://informahealthcare.com/doi/abs/10.3109/01443615.2010.481733
Abstract:
There is currently inconsistent evidence and clinical guidance on how to best manage a pregnancy complicated by reduced fetal movements. This novel, web-based, anonymous questionnaire evaluated 96 assessment and management approaches from doctors working in obstetrics in the Republic of Ireland who were presented with a clinical scenario of a primigravida concerned about reduced fetal movements at 39+3 weeks' gestation. This study identified a lack of clinical practice guidelines available in maternity hospitals in the Republic of Ireland. We demonstrated that almost all clinicians applied more than one assessment method and that most incorporated a cardiotocograph into their assessment. There was a low uptake of simple symphysio-fundal height measurement and high usage of kickcharts. The minority of clinicians admitted or induced their patients. This survey identified the need for national and international guidelines to ensure safe antepartum care and delivery.
Item Type:
Article
Language:
en
Description:
There is currently inconsistent evidence and clinical guidance on how to best manage a pregnancy complicated by reduced fetal movements. This novel, web-based, anonymous questionnaire evaluated 96 assessment and management approaches from doctors working in obstetrics in the Republic of Ireland who were presented with a clinical scenario of a primigravida concerned about reduced fetal movements at 39+3 weeks' gestation. This study identified a lack of clinical practice guidelines available in maternity hospitals in the Republic of Ireland. We demonstrated that almost all clinicians applied more than one assessment method and that most incorporated a cardiotocograph into their assessment. There was a low uptake of simple symphysio-fundal height measurement and high usage of kickcharts. The minority of clinicians admitted or induced their patients. This survey identified the need for national and international guidelines to ensure safe antepartum care and delivery.
MeSH:
Female; Fetal Monitoring; Fetal Movement; Gestational Age; Humans; Ireland; Male; Physician's Practice Patterns; Practice Guidelines as Topic; Pregnancy; Pregnancy Complications; Questionnaires
ISSN:
1364-6893

Full metadata record

DC FieldValue Language
dc.contributor.authorUnterscheider, Jen
dc.contributor.authorHorgan, R Pen
dc.contributor.authorGreene, R Aen
dc.contributor.authorHiggins, J Ren
dc.date.accessioned2011-11-18T15:12:12Z-
dc.date.available2011-11-18T15:12:12Z-
dc.date.issued2010-
dc.identifier.citationThe management of reduced fetal movements in an uncomplicated pregnancy at term: results from an anonymous national online survey in the Republic of Ireland. 2010, 30 (6):578-82 J Obstet Gynaecolen
dc.identifier.issn1364-6893-
dc.identifier.pmid20701506-
dc.identifier.doi10.3109/01443615.2010.481733-
dc.identifier.urihttp://hdl.handle.net/10147/189976-
dc.descriptionThere is currently inconsistent evidence and clinical guidance on how to best manage a pregnancy complicated by reduced fetal movements. This novel, web-based, anonymous questionnaire evaluated 96 assessment and management approaches from doctors working in obstetrics in the Republic of Ireland who were presented with a clinical scenario of a primigravida concerned about reduced fetal movements at 39+3 weeks' gestation. This study identified a lack of clinical practice guidelines available in maternity hospitals in the Republic of Ireland. We demonstrated that almost all clinicians applied more than one assessment method and that most incorporated a cardiotocograph into their assessment. There was a low uptake of simple symphysio-fundal height measurement and high usage of kickcharts. The minority of clinicians admitted or induced their patients. This survey identified the need for national and international guidelines to ensure safe antepartum care and delivery.en
dc.description.abstractThere is currently inconsistent evidence and clinical guidance on how to best manage a pregnancy complicated by reduced fetal movements. This novel, web-based, anonymous questionnaire evaluated 96 assessment and management approaches from doctors working in obstetrics in the Republic of Ireland who were presented with a clinical scenario of a primigravida concerned about reduced fetal movements at 39+3 weeks' gestation. This study identified a lack of clinical practice guidelines available in maternity hospitals in the Republic of Ireland. We demonstrated that almost all clinicians applied more than one assessment method and that most incorporated a cardiotocograph into their assessment. There was a low uptake of simple symphysio-fundal height measurement and high usage of kickcharts. The minority of clinicians admitted or induced their patients. This survey identified the need for national and international guidelines to ensure safe antepartum care and delivery.-
dc.language.isoenen
dc.relation.urlhttp://informahealthcare.com/doi/abs/10.3109/01443615.2010.481733en
dc.subject.meshFemale-
dc.subject.meshFetal Monitoring-
dc.subject.meshFetal Movement-
dc.subject.meshGestational Age-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshPhysician's Practice Patterns-
dc.subject.meshPractice Guidelines as Topic-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy Complications-
dc.subject.meshQuestionnaires-
dc.titleThe management of reduced fetal movements in an uncomplicated pregnancy at term: results from an anonymous national online survey in the Republic of Ireland.en
dc.typeArticleen
dc.contributor.departmentThe Anu Research Centre, Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland. julia_unterscheider@hotmail.comen
dc.identifier.journalJournal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecologyen
dc.description.provinceLeinster-

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