Journal
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
Volume 33, Issue 21, Pages 3713-3718Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/14767058.2019.1582027
Keywords
Asphyxia; cord entanglement; fetal seizures; hypoxic-ischemic encephalopathy; increased fetal movement; stillbirth
Categories
Funding
- National Health and Medical Research Council of Australia Fellowship [1142380]
- National Health and Medical Research Council of Australia [1142380] Funding Source: NHMRC
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Many studies have reported on the association of reduced fetal movements and stillbirth, but little is known about excessive fetal movements and adverse pregnancy outcome. First described in 1977, sudden excessive fetal movement was noted to reflect acute fetal distress and subsequent fetal demise. Subsequently, little was reported regarding this phenomenon until 2012. However, emerging data suggest that 10-30% of the women that subsequently suffer a stillbirth describe a single episode of excessive fetal movement prior to fetal demise. These episodes are poorly understood but may reflect fetal seizure activity secondary to fetal asphyxia, cord entanglement or an adverse intrauterine environment. At present, the challenge in managing women with excessive fetal movements is a timely assessment of the fetus to identify those women at risk of adverse fetal outcomes who may benefit from intervention.
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