Effects of Fetal Movement Counting on Maternal and Fetal Outcome Among High Risk Pregnant Woman

Study Overview
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Brief Summary
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Up till now, there is insufficient evidence that daily fetal movement counting for pregnant women who are already have a history of high risk pregnancy is beneficial or not in term of early detection and preventing adverse pregnancy outcomes. Aim The aim of the current study is to evaluate the effect of fetal movement counting on maternal and fetal outcome

Detailed Description
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The researchers met the pregnant women in antenatal clinics during their routine follow up. Woman who was eligible to be recruited in the study signed the consent after description of the study's purpose. Pregnant women in the study group received verbal information regarding normal fetal movements (i.e. description of the changing pattern of movement as the fetus develops, normal sleep/wake cycles, and factors which may modify the mother's perception of movements such as maternal weight and placental position), and its importance to be followed during the third trimester. Further, each pregnant woman in the study group was trained how to count the fetal movement (i.e.lying down on her left side after taking her meal, and concentrating on fetal movements, calculate it three times per day, half an hour/ one time and record it in the chart). As a rule, if there are less than 10 movements felt in 2 hours, women should contact her health care provider immediately (Royal college of obstetrician & gynecologists, 2011). Fetal movements counting chart was provided and women telephoned once a week in order to ensure proper recording. They also asked to present the fetal movements' chart to the researcher and thier health care providers in each antenatal follow up visit. Pregnant women in both groups; the study and the control groups followed according to thier antenatal visits schedule till delivery. Women in the control group received the antenatal hospital standard care. The maternal and neonatal outcomes had been assessed at delivery unit.

Official Title
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Effects of Fetal Movement Counting on Maternal and Fetal Outcome Among High Risk Pregnant Woman: A Randomized Controlled Trial

Conditions
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High Risk, Pregnancy

Intervention / Treatment
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* Other: Fetal movement count


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Second gravida Singleton 28 weeks gestation History of pregnancy induced hypertension (PIH) History of premature rupture of membrane (PROM) History of preterm labor History of gestational diabetes History of antepartum hemorrhage History of stillbirth History of fetal growth restriction Exclusion Criteria: History of psychological problems Drugs abuse Experience any terrible life events during the past 6 months Oligohydramnios Multi-fetal pregnancy Fetal abnormalities Smoking

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Intervention group versus control group
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Fetal Movement Counting<br>Fetal movement counting | Other: Fetal movement count<br>* Pregnant women in the study group received verbal information regarding normal fetal movements (i.e. description of the changing pattern of movement as the fetus develops, normal sleep/wake cycles, and factors which may modify the mother's perception of movements such as maternal weight and placental position), and its importance to be followed during the third trimester. A chart for fetal movements counting provided and to ensure proper performance of this task, women telephoned once a week. They also asked to show the fetal movements chart to the researcher and the health care providers in each visit. Women followed according to her antenatal visits schedule till delivery.<br>|
| No Intervention: standard antenatal follow up care<br>Women in the control group received the antenatal hospital standard care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decreased fetal movement count | Mothers' self report | 37 weeks gestation | 
| Intrauterine fetal death | Antenatal follow up and examination | 37 weeks gestation | 
| Still birth | Deliver died fetus or died within 24hrs. after delivery | Within 24 hoursafter delivery | 
| NICU admission | Newborn Apgar at fifth minutes less than 6 | 10 minutes after delivery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pregnancy complications | Any progress in mothers' medical conditions that affect thier pregnancy outcomes | 37 weeks gestation | 
| Delivery outcome | Mode of delivery and delivery complications | Immediatly after delivery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fetal Movement, Maternal Outcome, Risk Pregnancy