Malm Mari-Cristin, Rådestad Ingela, Rubertsson Christine, Hildingsson Ingegerd, Lindgren Helena
Department of Women's and Children's Health, Karolinska Institutet, 171 77 Stockholm, Sweden.
BMC Pregnancy Childbirth. 2014 Oct 7;14:349. doi: 10.1186/1471-2393-14-349.
Low maternal awareness of fetal movements is associated with negative birth outcomes. Knowledge regarding pregnant women's compliance with programs of systematic self-assessment of fetal movements is needed. The aim of this study was to investigate women's experiences using two different self-assessment methods for monitoring fetal movements and to determine if the women had a preference for one or the other method.
Data were collected by a crossover trial; 40 healthy women with an uncomplicated full-term pregnancy counted the fetal movements according to a Count-to-ten method and assessed the character of the movements according to the Mindfetalness method. Each self-assessment was observed by a midwife and followed by a questionnaire. A total of 80 self-assessments was performed; 40 with each method.
Of the 40 women, only one did not find at least one method suitable. Twenty of the total of 39 reported a preference, 15 for the Mindfetalness method and five for the Count-to-ten method. All 39 said they felt calm, relaxed, mentally present and focused during the observations. Furthermore, the women described the observation of the movements as safe and reassuring and a moment for communication with their unborn baby.
In the 80 assessments all but one of the women found one or both methods suitable for self-assessment of fetal movements and they felt comfortable during the assessments. More women preferred the Mindfetalness method compared to the count-to-ten method, than vice versa.
孕妇对胎动的认知度低与不良分娩结局相关。需要了解孕妇对胎动系统自我评估方案的依从情况。本研究的目的是调查女性使用两种不同自我评估方法监测胎动的体验，并确定女性是否对其中一种方法有偏好。
通过交叉试验收集数据；40名健康的足月妊娠且无并发症的女性按照“数到十”法计数胎动，并根据“胎动感知法”评估胎动特征。每次自我评估都由一名助产士观察，并随后进行问卷调查。共进行了80次自我评估；每种方法各40次。
40名女性中，只有1人认为至少有一种方法不合适。在总共39名有偏好的女性中，15人偏好“胎动感知法”，5人偏好“数到十”法。所有39人表示在观察过程中感到平静、放松、精神集中。此外，女性将观察胎动描述为安全且令人安心的，是与未出生婴儿交流的时刻。
在80次评估中，除1名女性外，其他所有女性都认为一种或两种方法适用于胎动自我评估，并且她们在评估过程中感到舒适。与“数到十”法相比，更多女性更喜欢“胎动感知法”，反之则不然。
