Stillbirth, Perinatal Death Pregnancy and Childbirth Maternal care related to the fetus and amniotic cavity and possible delivery problems
Conditions
Interventions
Intervention Group - intensive investigation specifically ultrasound assessment of estimated fetal weight, liquor volume, umbilical artery Doppler and measurement of human placental lactogen with reco
Sponsors
Central Manchester University Hospitals NHS Foundation Trust (UK)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Women presenting with a subjective reduction in fetal movements between 36+0 and 41+3 weeks gestation with a viable singleton pregnancy on initial assessment.
Exclusion criteria
Exclusion criteria: 1. Fetus with a congenital anomaly 2. Multiple pregnancy 3. Fetus requiring immediate delivery for abnormal fetal heart rate trace 4. Maternal age <16 years 5. Women unable to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Proportion of women with poor pregnancy outcome 2. Poor pregnancy outcome is defined as: 2.1. Stillbirth 2.2. Unexpected admission to the neonatal intensive care unit 2.3. Metabolic acidosis (umbilical arterial cord pH <7.1) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Proportion of infants with a birthweight centile < 10 2. Proportion of eligible women recruited to the study (feasibility) 3. Anxiety scores and views of women before and after their assigned treatment (acceptability) 4. Views of medical and midwifery staff on the intervention | — |
Countries
United Kingdom
Outcome results
None listed