Perinatal care is a critical aspect of maternal and child health, with a primary focus on ensuring the well-being of both the mother and the developing fetus. One significant indicator of fetal health is the assessment of fetal movements, which serves as a subjective measure reported by the mother. Fetal movement abnormalities encompass a spectrum of conditions, including fetal tachycardia, bradycardia, and reduced baseline variability in cardiotocography (CTG). While reduced fetal movements may often be attributed to non- pathological factors such as maternal stress, activity levels, and sleeping patterns, it becomes imperative to distinguish instances where such reductions signify underlying fetal abnormalities. Reduced fetal movements, as perceived by the mother, may not solely stem from fetal pathologies but can also result from external factors such as pharmaceuticals, smoking, alcoholism, and maternal stress. However, during the last trimester, these reductions may manifest as a significant concern, especially when associated with true pathological conditions such as intrauterine growth restriction (IUGR), placental abruption, or a low amniotic fluid index. Timely and accurate identification of these conditions is crucial, as prompt interventions can effectively mitigate perinatal morbidities and mortalities..
2023-07-01.
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