Prevention Research Collaboration, Sydney School of Public Health and Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.
Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 2021 Dec;61(6):846-854. doi: 10.1111/ajo.13360. Epub 2021 Apr 27.
The Movements Matter campaign aimed to raise awareness of decreased fetal movements (DFM) among pregnant women and inform clinicians of best practice management.
To conduct a process evaluation of campaign implementation, and an impact evaluation of the campaign's effects on knowledge and experiences of pregnant women, and attitudes and practices of clinicians in relation to DFM.
This study used a cross-sectional before-after design. Pregnant women and clinicians were sampled at five hospitals. Women were surveyed about their knowledge of DFM, and actions to take if they noticed DFM. Clinicians were asked about their current practices and attitudes about informing women about DFM. Logistic regression was used to calculate campaign effects on outcome measures.
The Movements Matter campaign reached 653 262 people on social media, as well as being covered on news media and popular women's websites. The evaluation surveyed 1142 pregnant women pre-campaign and 473 post-campaign, and 372 clinicians pre-campaign and 149 post-campaign. Following the campaign, women were more likely to be aware that babies should move the same amount in late pregnancy (adjusted odds ratio (aOR) 1.81, 95% CI 1.43-2.27), and were more likely to contact their health service immediately if their baby was moving less (aOR 1.52, 95% CI 1.22-1.91). Clinicians were 2.84 times more likely to recommend women should come in for assessment if they experience DFM (95% CI 1.35-5.97).
This evaluation has shown that a campaign using social media and in-hospital education materials led to some increases in knowledge about fetal movements among pregnant women.
“运动很重要”运动旨在提高孕妇对胎儿运动减少（DFM）的认识，并告知临床医生最佳的管理实践。
对运动的实施进行过程评估，并对运动对孕妇知识和经验的影响以及对临床医生与 DFM 相关的态度和实践的影响进行影响评估。
本研究采用了横断面前后设计。在五家医院对孕妇和临床医生进行抽样。对女性进行了关于她们对 DFM 的认识以及如果发现 DFM 应采取的行动的调查。询问了临床医生关于他们目前告知女性 DFM 的做法和态度。使用逻辑回归计算了运动对结果测量的影响。
“运动很重要”运动在社交媒体上吸引了 653262 人，同时也在新闻媒体和流行女性网站上进行了报道。评估调查了 1142 名孕妇在运动前和 473 名孕妇在运动后，以及 372 名临床医生在运动前和 149 名医生在运动后。运动后，孕妇更有可能意识到在妊娠晚期婴儿应该有相同的运动量（调整后的优势比（aOR）为 1.81，95%置信区间（CI）为 1.43-2.27），如果婴儿的运动量减少，更有可能立即联系他们的医疗服务（aOR 1.52，95% CI 1.22-1.91）。如果临床医生遇到 DFM，建议女性应该来进行评估的可能性增加了 2.84 倍（95%CI 1.35-5.97）。
这项评估表明，使用社交媒体和医院内教育材料的运动导致孕妇对胎儿运动的认识有所提高。
