title: Reduced fetal movement: factors affecting maternal perception.
abstract: OBJECTIVE
  Evaluate physiologic factors associated with reduced maternal perception of fetal movements (RFM).
  
  
  METHODS
  A historical cohort study of all women (years 2011-2013, n = 399) that visited the maternal emergency room (ER) (gestational age 24 + 0-42 + 0) due to RFM (group A), that was compared to a control group consisted from women with normal perception of fetal movements (group B). Groups were compared for maternal characteristics (age, gravity, parity, BMI), gestational age, placental location, gestational age at birth and fetal outcomes (birth-weight and Apgar scores).
  
  
  RESULTS
  In a multivariate regression analysis, including maternal age, height, weight, BMI, gestational age on admission to ER, gravity, parity and placental location, only two variables remained significantly associated with RFM - nulliparity (OR = 2.28, p = 0.001) and anterior placenta (OR = 1.44, p = 0.034). Group A was not associated with lower Apgar scores (1 and 5-min, p = 0.40 and 0.57, respectively) or low birth-weight (p = 0.76), nor was it associated with prematurity (p = 0.41), low (<7) 5-min Apgar score, fetal death or neonatal death.
  
  
  CONCLUSIONS
  Reduced fetal movements are associated with anterior placenta and nulliparity.
authors.affiliation: a Department of Obstetrics and Gynecology , The Chaim Sheba Medical Center , Tel Hashomer , Israel .
authors.forename: Aya
authors.initials: A
authors.lastname: Mohr Sasson
authors.affiliation: a Department of Obstetrics and Gynecology , The Chaim Sheba Medical Center , Tel Hashomer , Israel .
authors.forename: Abraham
authors.initials: A
authors.lastname: Tsur
authors.affiliation: a Department of Obstetrics and Gynecology , The Chaim Sheba Medical Center , Tel Hashomer , Israel .|b Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv , Israel , and.
authors.forename: Anat
authors.initials: A
authors.lastname: Kalter
authors.affiliation: a Department of Obstetrics and Gynecology , The Chaim Sheba Medical Center , Tel Hashomer , Israel .|b Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv , Israel , and.
authors.forename: Alina
authors.initials: A
authors.lastname: Weissmann Brenner
authors.affiliation: a Department of Obstetrics and Gynecology , The Chaim Sheba Medical Center , Tel Hashomer , Israel .|b Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv , Israel , and.
authors.forename: Liat
authors.initials: L
authors.lastname: Gindes
authors.affiliation: a Department of Obstetrics and Gynecology , The Chaim Sheba Medical Center , Tel Hashomer , Israel .|b Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv , Israel , and.|c Talpiot Medical Leadership Program, Sheba Medical Center , Tel-Hashomer , Israel.
authors.forename: Boaz
authors.initials: B
authors.lastname: Weisz
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D015331:Cohort Studies; D005260:Female; D005324:Fetal Movement; D006801:Humans; D015999:Multivariate Analysis; D010298:Parity; D010465:Perception; D010920:Placenta / Q000502:physiology; D011247:Pregnancy
keywords: Antepartum assessment; parity; placenta