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Routine formal fetal movement counting and risk of antepartum late death in normally formed singletons

Grant, Adrian; Elbourne, Diana; Valentin, Lil LU and Alexander, Sophie (1989) In The Lancet 334(8659). p.345-349
Abstract
The routine recommendation to women to count fetal movements daily during late pregnancy for the prevention of antepartum late fetal death in normally formed singletons has been evaluated. 68,000 women were randomly allocated within thirty-three pairs of clusters either to a policy of routine counting or to standard care, which might involve selective use of formal counting or informal noting of movements. Antepartum death rates for normally formed singletons were similar in the two groups, regardless of cause of prior risk status. Despite the counting policy, most of these fetuses were dead by the time the mothers received medical attention. The study does not rule out a beneficial effect, but at best, the policy would have to be used by... (More)
The routine recommendation to women to count fetal movements daily during late pregnancy for the prevention of antepartum late fetal death in normally formed singletons has been evaluated. 68,000 women were randomly allocated within thirty-three pairs of clusters either to a policy of routine counting or to standard care, which might involve selective use of formal counting or informal noting of movements. Antepartum death rates for normally formed singletons were similar in the two groups, regardless of cause of prior risk status. Despite the counting policy, most of these fetuses were dead by the time the mothers received medical attention. The study does not rule out a beneficial effect, but at best, the policy would have to be used by about 1250 women to prevent 1 unexplained antepartum late fetal death, and an adverse effect is just as likely. In addition, formal routine counting would use considerable extra resources. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The Lancet
volume
334
issue
8659
pages
345 - 349
publisher
Elsevier Limited
external identifiers
  • scopus:0024338836
ISSN
1474-547X
DOI
10.1016/S0140-6736(89)90535-7
language
English
LU publication?
yes
id
5aef7b9a-53d6-4016-92b8-af838429162f (old id 1104727)
date added to LUP
2008-08-06 14:09:52
date last changed
2017-10-29 03:40:51
@article{5aef7b9a-53d6-4016-92b8-af838429162f,
  abstract     = {The routine recommendation to women to count fetal movements daily during late pregnancy for the prevention of antepartum late fetal death in normally formed singletons has been evaluated. 68,000 women were randomly allocated within thirty-three pairs of clusters either to a policy of routine counting or to standard care, which might involve selective use of formal counting or informal noting of movements. Antepartum death rates for normally formed singletons were similar in the two groups, regardless of cause of prior risk status. Despite the counting policy, most of these fetuses were dead by the time the mothers received medical attention. The study does not rule out a beneficial effect, but at best, the policy would have to be used by about 1250 women to prevent 1 unexplained antepartum late fetal death, and an adverse effect is just as likely. In addition, formal routine counting would use considerable extra resources.},
  author       = {Grant, Adrian and Elbourne, Diana and Valentin, Lil and Alexander, Sophie},
  issn         = {1474-547X},
  language     = {eng},
  number       = {8659},
  pages        = {345--349},
  publisher    = {Elsevier Limited},
  series       = {The Lancet},
  title        = {Routine formal fetal movement counting and risk of antepartum late death in normally formed singletons},
  url          = {http://dx.doi.org/10.1016/S0140-6736(89)90535-7},
  volume       = {334},
  year         = {1989},
}