Maternal Perception of Sound Provoked Fetal Movement for Antepartum Assessment of Fetal Well-being

Maternal Perception of Sound Provoked Fetal Movement for Antepartum Assessment of Fetal Well-being

Objective: To assess the reliability and application of maternal perception of sound provoked fetal movement for antepartum assessment of fetal well‐being. Methods: Six hundred singleton high risk pregnant women of at least 32 weeks gestation were studied on 684 occasions. The response was compared...

Full description

Saved in:
Bibliographic Details
Published in:The journal of obstetrics and gynaecology research Vol. 23; no. 6; pp. 537 - 541
Main Authors: Chittacharoen, A., Herabutya, Y., Tungsagonwattana, S., Suthutvoravut, S.
Format: Journal Article
Language:English
Published: Oxford, UK Blackwell Publishing Ltd 01-12-1997
Subjects:
Acoustic Stimulation
Adult
antepartum
Female
Fetal Diseases - diagnosis
Fetal Distress - diagnosis
fetal movement
Fetal Movement - physiology
fetal well-being
Gestational Age
Humans
maternal perception
Mothers
Perception
Pregnancy
Pregnancy Outcome
Risk Factors
Sensitivity and Specificity
Vibration
vibroacoustic stimulation
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: To assess the reliability and application of maternal perception of sound provoked fetal movement for antepartum assessment of fetal well‐being. Methods: Six hundred singleton high risk pregnant women of at least 32 weeks gestation were studied on 684 occasions. The response was compared with a nonstress test (NST) performed before a 3 second vibroacoustic stimulation with an electronic artificial larynx. The result of maternal perception of sound provoked fetal movement was compared to the NST and the perinatal outcome using sensitivity, specificity, negative predictive value, positive predictive value, and accuracy. Results: On 684 occasions, a positive response to sound stimulation, recorded as a fetal movement by the mother, occurred on 642 occasions (93.9%) and was accompanied by a reactive NST on 630 occasions; giving a specificity of 97.1% and a negative predictive value of 98.1%. Results of maternal perception of sound provoked fetal movement and NST, performed within a week of delivery, in 560 women were compared with perinatal outcome. The maternal perception of sound provoked fetal movement test had better sensitivity (64.7%) for poor perinatal outcome than the NST (58.8%). Both tests were not different in specificity (96.3% vs 96.5%), positive predictive value (35.5% vs 34.5%), negative predictive value (98.9% vs 98.7%), and accuracy (95.4% vs 95.4%). Conclusion: The findings suggested that maternal perception of sound provoked fetal movement may be an effective screening test to identify fetal compromise in antepartum period. This test is a simple and inexpensive test for evaluating fetal well‐being in primary health care setting.
Bibliography:istex:21C4597B35B7C3C153D0D32E58B6EC1C7FDE4424
ark:/67375/WNG-5PTH69GK-2
ArticleID:JOG883
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.1997.tb00883.x