Smyth R M D, Taylor W, Heazell A E, Furber C, Whitworth M, Lavender T
Division of Nursing Midwifery and Social Work, University of Manchester, Manchester, M13 9PL, UK.
Maternal and Fetal Health Research Centre 5th Floor (Research) St Mary's Hospital Central Manchester NHS Foundation Trust, St Mary's Hospital, Manchester, M13 9WL, UK.
BMC Pregnancy Childbirth. 2016 Sep 26;16(1):280. doi: 10.1186/s12884-016-1074-x.
Worldwide maternal perception of fetal movements has been used for many years to evaluate fetal wellbeing. It is intuitively regarded as an expression of fetal well-being as pregnancies in which women consistently report regular fetal movements have very low morbidity and mortality. Conversely, maternal perception of reduced fetal movements is associated with adverse pregnancy outcomes. We sought to gain insight into pregnant women's and clinicians views and experiences of reduced movements.
We performed qualitative semi-structured interviews with pregnant women who experienced reduced fetal movements in their current pregnancy and health professionals who provide maternity care. Our aim was to develop a better understanding of events, facilitators and barriers to presentation with reduced fetal movements. Data analysis was conducted using framework analysis principles.
Twenty-one women and 10 clinicians were interviewed. The themes that emerged following the final coding were influences of social network, facilitators and barriers to presentation and the desire for normality.
This study aids understanding about why women present with reduced movements and how they reach the decision to attend hospital. This should inform professionals' views and practice, such that appreciating and addressing women's concerns may reduce anxiety and make presentation with further reduced movements more likely, which is desirable as this group is at increased risk of adverse outcome. To address problems with information about normal and abnormal fetal movements, high-quality information is needed that is accessible to women and their families.
多年来，全球范围内孕妇对胎动的感知一直被用于评估胎儿健康状况。由于孕妇持续报告胎动规律的妊娠其发病率和死亡率极低，胎动被直观地视为胎儿健康的一种表现。相反，孕妇感觉到胎动减少与不良妊娠结局相关。我们试图深入了解孕妇和临床医生对胎动减少的看法及经历。
我们对当前妊娠期间经历胎动减少的孕妇以及提供产科护理的医护人员进行了定性半结构式访谈。我们的目的是更好地了解胎动减少时的相关事件、促成因素和阻碍因素。采用框架分析原则进行数据分析。
共访谈了21名女性和10名临床医生。最终编码后出现的主题包括社交网络的影响、就诊的促成因素和阻碍因素以及对正常状态的渴望。
本研究有助于理解女性胎动减少时前来就诊的原因以及她们如何做出前往医院的决定。这应为专业人员的观点和实践提供参考，即了解并解决女性的担忧可能会减轻焦虑，并使她们更有可能在胎动进一步减少时前来就诊，这是可取的，因为这一群体出现不良结局的风险增加。为解决关于正常和异常胎动信息方面的问题，需要为女性及其家人提供高质量且易于获取的信息。
