Maternal perception of sound-provoked fetal movement as a test of antepartum fetal wellbeing.

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dc.contributor.authorChutiwongse, Sen_US
dc.contributor.authorTannirandorn, Yen_US
dc.contributor.authorSukcharoen, Nen_US
dc.contributor.authorWitoonpanich, Pen_US
dc.contributor.authorSnidvongs, Wen_US
dc.contributor.authorPhaosavasdi, Sen_US
dc.date.accessioned2009-05-27T20:41:34Z
dc.date.available2009-05-27T20:41:34Z
dc.date.issued1991-05-01en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractMaternal 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.en_US
dc.description.affiliationDepartment of Obstetrics & Gynaecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.en_US
dc.identifier.citationChutiwongse S, Tannirandorn Y, Sukcharoen N, Witoonpanich P, Snidvongs W, Phaosavasdi S. Maternal perception of sound-provoked fetal movement as a test of antepartum fetal wellbeing. Journal of the Medical Association of Thailand. 1991 May; 74(5): 257-63en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/43463
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAcoustic Stimulation --methodsen_US
dc.subject.meshEvaluation Studies as Topicen_US
dc.subject.meshFemaleen_US
dc.subject.meshFetal Movement --physiologyen_US
dc.subject.meshFetal Viability --physiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaternal Behavioren_US
dc.subject.meshPerception --physiologyen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Trimester, Seconden_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSensitivity and Specificityen_US
dc.subject.meshStartle Reaction --physiologyen_US
dc.subject.meshThailanden_US
dc.titleMaternal perception of sound-provoked fetal movement as a test of antepartum fetal wellbeing.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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