Aim:

We aimed to it should be noted that clinicians should not be worried about fetal loss in pregnancies where antenatal fetal movements decrease. It was aimed to raise awareness by evaluating perinatal outcomes.

Materials and Methods:

Between September 2017 and September 2018, 105 pregnant women with a gestational age of 32 weeks and above who were admitted to our hospital due to a decrease in fetal movements or not feeling fetal movements were excluded from the study. Age, gravida, parity, abortion, curettage and education levels of 105 pregnant women were recorded. Perception of the perinatal outcomes of 105 pregnant women, doppler ultrasonography results were recorded.

Results:

Among the study group, 80 of these pregnant women (%76) who were interned with the prediagnosis of fetal movements had normal findings during their follow-up and were discharged. In 64 (60%) patients who were discharged, only hydration treatment was given and non stress test (NST) results were followed without any further treatment. 25 out of 105 patients (23%) underwent fetal stres and had cesarean section (c / s). Intrauterine exitus was observed in 4 (3.8%) pregnant women who applied to our hospital with the complaint of decrease in fetal movements. İntrauterine exitus was observed in 1 (0.04%) of the other hospitalized patients during the same period of time.

Conclusions:

Cesarean rates and sudden fetal mortality rates are found to be increased in patients presenting with a decrease in fetal movements. Patients presenting with this condition puts the attending physician in a difficult situation. Due to the lack of consensus on the methods of fetal motion count, an algorithm for the management of decreased fetal movement has still not been established.

Keywords: Decreased fetal movements, perinatal evaluation, fetal death