PDF(Pubmed)
Abstract：
BACKGROUND: Fetal movement monitoring is one of the strategies used to assess the fetus\'s health. Until now, most studies focused on the decreased fetal movement and neonatal outcome, although this systematic review and meta-analysis is designed to assess the association between increased fetal movements (IFM) with perinatal outcomes.
METHODS: The electronic databases including PubMed, Scopus, Web of Science, and EMBASE were systematically searched for studies investigating the perinatal outcome of women with increased fetal movements from inception to July 2023. Following that, a random-effect meta-analysis model was used to obtain the combined diagnostic and predictive parameters including perinatal mortality (still birth and early neonatal mortality), operative delivery, Apgar score, neonatal resuscitation at birth and NICU Admission.
RESULTS: After the initial screening, seven studies examining the association between increased third trimester fetal movement and various perinatal outcomes were included. Meta-analysis revealed a significant reduction in the risk of cesarean delivery among patients with IFM compared to controls, suggesting a potential protective effect during childbirth. However, no statistically significant difference was observed in birth weight, small or large for gestational age births, neonatal intensive care unit admission, maternal age, umbilical cord around the neck, gestational diabetes mellitus, and hypertension, indicating that IFM may not be a major predictor of adverse perinatal outcomes or maternal conditions. Notably, IFM was significantly associated with a higher likelihood of labor induction.
CONCLUSIONS: The findings suggest that IFM may have a protective effect against cesarean delivery. Additionally, IFM does not appear to be significantly associated with maternal age, umbilical cord around the neck, gestational diabetes mellitus and hypertension. However, the observed significant association with labor induction warrants further investigation.
METHODS: The electronic databases including PubMed, Scopus, Web of Science, and EMBASE were systematically searched for studies investigating the perinatal outcome of women with increased fetal movements from inception to July 2023. Following that, a random-effect meta-analysis model was used to obtain the combined diagnostic and predictive parameters including perinatal mortality (still birth and early neonatal mortality), operative delivery, Apgar score, neonatal resuscitation at birth and NICU Admission.
RESULTS: After the initial screening, seven studies examining the association between increased third trimester fetal movement and various perinatal outcomes were included. Meta-analysis revealed a significant reduction in the risk of cesarean delivery among patients with IFM compared to controls, suggesting a potential protective effect during childbirth. However, no statistically significant difference was observed in birth weight, small or large for gestational age births, neonatal intensive care unit admission, maternal age, umbilical cord around the neck, gestational diabetes mellitus, and hypertension, indicating that IFM may not be a major predictor of adverse perinatal outcomes or maternal conditions. Notably, IFM was significantly associated with a higher likelihood of labor induction.
CONCLUSIONS: The findings suggest that IFM may have a protective effect against cesarean delivery. Additionally, IFM does not appear to be significantly associated with maternal age, umbilical cord around the neck, gestational diabetes mellitus and hypertension. However, the observed significant association with labor induction warrants further investigation.
摘要：
背景：胎儿运动监测是用于评估胎儿健康的策略之一。直到现在,大多数研究集中在胎儿运动减少和新生儿结局，尽管本系统综述和荟萃分析旨在评估胎动增加(IFM)与围产期结局之间的关联.
方法：包括PubMed、Scopus,WebofScience,和EMBASE被系统地搜索了调查从开始到2023年7月胎动增加妇女围产期结局的研究.在此之后,随机效应荟萃分析模型用于获得包括围产期死亡率（死胎和早期新生儿死亡率）在内的综合诊断和预测参数，手术交付,阿普加得分,新生儿出生时复苏和NICU入院。
结果：初筛后，纳入了7项研究,研究了妊娠晚期胎动增加与各种围产期结局之间的关系.Meta分析显示，与对照组相比，IFM患者的剖宫产风险显着降低。提示分娩时的潜在保护作用。然而,出生体重无统计学差异，胎龄婴儿小或大，新生儿重症监护病房入院，产妇年龄,脐带绕在脖子上，妊娠期糖尿病,和高血压，表明IFM可能不是不良围产期结局或孕产妇状况的主要预测因子。值得注意的是,IFM与更高的引产可能性显着相关。
结论：研究结果表明，IFM可能对剖宫产具有保护作用。此外,IFM似乎与产妇年龄没有显着相关，脐带绕在脖子上，妊娠期糖尿病和高血压。然而,观察到的与引产的显著关联值得进一步研究.
方法：包括PubMed、Scopus,WebofScience,和EMBASE被系统地搜索了调查从开始到2023年7月胎动增加妇女围产期结局的研究.在此之后,随机效应荟萃分析模型用于获得包括围产期死亡率（死胎和早期新生儿死亡率）在内的综合诊断和预测参数，手术交付,阿普加得分,新生儿出生时复苏和NICU入院。
结果：初筛后，纳入了7项研究,研究了妊娠晚期胎动增加与各种围产期结局之间的关系.Meta分析显示，与对照组相比，IFM患者的剖宫产风险显着降低。提示分娩时的潜在保护作用。然而,出生体重无统计学差异，胎龄婴儿小或大，新生儿重症监护病房入院，产妇年龄,脐带绕在脖子上，妊娠期糖尿病,和高血压，表明IFM可能不是不良围产期结局或孕产妇状况的主要预测因子。值得注意的是,IFM与更高的引产可能性显着相关。
结论：研究结果表明，IFM可能对剖宫产具有保护作用。此外,IFM似乎与产妇年龄没有显着相关，脐带绕在脖子上，妊娠期糖尿病和高血压。然而,观察到的与引产的显著关联值得进一步研究.
