Nor Azlin M I, Maisarah A S, Rahana A R, Shafiee M Nasir, Aqmar Suraya S, Abdul Karim A K, Jamil M A
Department of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Kebangsaan Malaysia , Kuala Lumpur , Malaysia.
J Obstet Gynaecol. 2015 Jan;35(1):13-5. doi: 10.3109/01443615.2014.930108. Epub 2014 Jul 2.
Reduced fetal movement is a worrisome common complaint, not only for mothers but also for the attending medical personnel. The aim of this study was to analyse the pregnancy outcomes of women who presented primarily with reduced fetal movements (RFM). A retrospective study was performed based on patients' perception alone. Obstetric, past medical history, current presentation and outcomes of pregnancy were analysed. A total of 230 case notes were reviewed, with the majority being primigravidae. Less than half (48.7%) of the women had spontaneous labour, 45.7% had induction and 5.6% had elective caesarean section. There were no maternal complications in 97.4% (n = 224) of them. About 0.9% (n = 2) and 1.7% (n = 4) had primary postpartum haemorrhage and extended perineal tear, respectively. Although there was no major neonatal mortality and morbidity, until a randomised trial with a significant sample is conducted in the management of RFM, careful selections for elective delivery or conservative management would prevent untoward complications.
胎动减少是一个令人担忧的常见问题，不仅让母亲担心，也让主治医护人员忧虑。本研究的目的是分析主要因胎动减少（RFM）就诊的女性的妊娠结局。仅基于患者的感知进行了一项回顾性研究。分析了产科情况、既往病史、当前症状及妊娠结局。共查阅了230份病例记录，其中大多数为初产妇。不到一半（48.7%）的女性自然分娩，45.7%的女性引产，5.6%的女性择期剖宫产。其中97.4%（n = 224）无母体并发症。分别约有0.9%（n = 2）和1.7%（n = 4）发生原发性产后出血和会阴扩展性撕裂。虽然没有重大的新生儿死亡率和发病率，但在对胎动减少进行管理的随机试验有足够大样本之前，仔细选择择期分娩或保守管理可预防不良并发症。
