Wavelet principal component analysis of fetal movement counting data preceding hospital examinations due to decreased fetal movement: a prospective cohort study

Table 2 Fetal complications identified during consultations due to decreased fetal movement (DFM)

ALL DFM-RELATED CONSULTATIONS (n=148)
Outcome of hospital examination due to DFM	PATHOLOGY IDENTIFIED AT DFM-RELATED CONSULTATION	22 (15%)
	Intrauterine fetal death	1
	Fetal distress^a	4
	Polyhydramnios^b	1
	Oligohydramnios^b	2
	Fetal weight estimate <-10% by ultrasound measurement	14
	Fetal malformation	1
DFM-RELATED CONSULTATIONS 21 DAYS BEFORE BIRTH (n=76)
Proxy for fetal health at time of consultation, based on examination outcome, birth outcome and placental pathology assumed relevant to the consultation	ASSUMED FETAL COMPROMISE AT TIME OF CONSULTATION	27 (36%)
	Pathology identified at DFM-related consultation	19
	Delivery complications
	Intrapartum intervention due to non-reassuring fetal state^c	0
	Emergency cesarean section^d	3
	Birth outcome
	Neonatal complications^e	11
	Intrauterine fetal death	1
	Small for gestational age^f	7
	Fetal growth restriction^g	3
	Apgar <7_5minutes	2
	Other	3
	Placental pathology, total [n=48 (63%)]	13
	Infections^h	1
	Maternal placental circulatory disorderⁱ	10
	Other	2

^aNon-reassuring cardiotocography finding or pathological blood flow in umbilical artery (as defined by clinician).
^bAs reported by clinicians in medical records.
^cAsphyxia or protracted delivery with pathological cardiotocography finding.
^dIntervention decided upon within eight hours before delivery, including acute and emergency cases.
^eSmall for gestational age, infections, Apgar score <7_5min, malformations or transfer to neonatal care unit for conditions relevant to fetal growth restriction or fetal distress (respiratory syndrome or cerebral irritation).
^fBirth weight < 10^th percentile, adjusted for gestational age and fetal sex.
^gBirth weight < 2.5^th percentile, adjusted for gestational age and fetal sex.
^hChorioamnionitis or villitis.
ⁱInfarctions/lesions, hemorrhages, abruptions and ischemic changes.

ISSN: 1471-2393