Maternal perception of sound-provoked fetal movement as a test of antepartum fetal wellbeing.
Article
Dans Anglais
| IMSEAR
| ID: sea-43463
ABSTRACT
Maternal perception of sound-provoked fetal movement test was studied on 506 occasions in 443 women with obstetric or medical antenatal risk factors after 26 weeks gestation. The response was compared with a nonstress test (NST) performed immediately after a three-second vibroacoustic stimulation with an electronic artificial larynx. A positive response to sound stimulation, recorded as a fetal movement by the mother, occurred on 497 occasions (97.3%) and was accompanied by a reactive NST on 484 occasions; giving a specificity of 99.6 per cent and a negative predictive value of 97.4 per cent. An inconclusive or negative response to sound (2.7%) had a sensitivity of 35.0 per cent and a positive predictive value for a nonreactive NST of 77.8 per cent. Results of sound-provoked fetal movement test and NST, performed within a week of delivery, in 434 women were compared with fetal outcome. The maternal perception of sound-provoked fetal movement test had better specificity (99.1% vs 96.9%), positive predictive value (55.6% vs 35.0%) for poor fetal outcome than the NST, although its sensitivity (50.0% vs 70.0%) and negative predictive value (98.8% vs 99.3%) were lower. Maternal perception of sound-provoked fetal movement test may suffice as an inexpensive and simple method of evaluating antepartum fetal well-being in risk situations. When the mother does not feel any sound provoked fetal movement, NST is then performed. This clinical application can be helpful in a primary health care setting where rapid assessment of fetal health at risk is required.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Perception
/
Deuxième trimestre de grossesse
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Réflexe de sursaut
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Thaïlande
/
Stimulation acoustique
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Femelle
/
Humains
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Grossesse
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Études prospectives
/
Facteurs de risque
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
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Études d'évaluation
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Étude observationnelle
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Étude pronostique
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Facteurs de risque
Pays comme sujet:
Asie
langue:
Anglais
Année:
1991
Type:
Article
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