title: [Agreement between maternal perception of fetal movements and visualization by ultrasound].
abstract: OBJECTIVE
  To determine the agreement between maternal perception of fetal movements and the movements recorded simultaneously by ultrasound in low-risk pregnancies.
  
  
  METHODS
  Twenty pregnant women were evaluated with the following inclusion criteria: single pregnancy, alive fetus, maternal age between 18 and 35 years; between 36 and 40 weeks gestation; normal fetal morphology at ultrasound, and absence of maternal comorbidities. The pregnant women were evaluated for 10 minutes, during which cardiotocography was used to record fetal movements triggered with the event marker, with the paper speed set at 3 cm/min. At the same time, fetal movements were observed by ultrasonography.
  
  
  RESULTS
  The kappa index for interobserver agreement analysis was 0.62, showing good agreement (95%CI 0.45 - 0.79). The intraclass correlation coefficient was 0.82 (95%CI 0.61 - 0.92). Analysis by the Bland & Altman graph indicated good agreement. A linear regression analysis showed a significant correlation between maternal perception (x) and ultrasound (y) observation (r²=0.71, p<0.001; equation: y=5.31+0.66x).
  
  
  CONCLUSIONS
  The agreement between ultrasound and maternal perception of fetal movement is good, allowing the use of fetal movement counting in the assessment of fetal wellbeing.
authors: Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia da Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP), Brasil.
authors: Roseli Mieko Yamamoto
authors: RM
authors: Nomura
authors: Marina Vilela Chagas
authors: MV
authors: Ferreira
authors: Ibrahim Omar Abdel
authors: IO
authors: Latif
authors: Rossana Pulcineli Vieira
authors: RP
authors: Francisco
authors: Marcelo
authors: M
authors: Zugaib
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005324:Fetal Movement; D006801:Humans; D010465:Perception; D011247:Pregnancy; D011446:Prospective Studies; D016216:Ultrasonography, Prenatal; D055815:Young Adult