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Maternal perception of sound‐provoked fetal movements as a measure of fetal well‐being
Author(s) -
WESTGREN M.,
ALMSTROM H.,
NYMAN M.,
ULMSTEN U.
Publication year - 1987
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1987.tb03144.x
Subject(s) - medicine , fetal movement , fetus , stimulation , pathological , sound (geography) , audiology , pregnancy , hypoxia (environmental) , sound exposure , obstetrics , chemistry , genetics , organic chemistry , oxygen , biology , geomorphology , geology
Summary Maternal perception of sound‐provoked fetal movements was studied on 613 occasions in 259 risk pregnancies. The response was compared with a non‐stress (N‐S) test performed immediately after the sound stimulation. A positive response to sound stimulation, recorded as a fetal movement by the mother, occurred on 534 occasions (87%) and was always accompanied by a normal N‐S test; sensitivity 100%. An inconclusive (3%) or negative response to sound (10%) had a specificity of 89% and a predictive value for a pathological N‐S test of 19%. There was a positive correlation between inconclusive or negative test results and fetal growth retardation ( P <0·01), fetal hypoxia ( P <0·05) and neonatal mortality ( P <0·05). This rapid test may have a place as a simple first‐line screening test.