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. Author manuscript; available in PMC: 2014 Jun 16.
Published in final edited form as: Cochrane Database Syst Rev. 2012 Apr 18;4:CD009148. doi: 10.1002/14651858.CD009148.pub2

Table 1. Management of reported decreased fetal movements.

Study Intervention A Subgroup with decreased fetal movements/whole group n/N (%) Intervention B Subgroup with decreased fetal movements/whole group n/N (%) Outcome Main outcomes for whole group

Group A Group B RR (95% CI)
Computerised interpretation

Bracero 1999 Visual
interpretation
21/205 (10%) Computerised
interpretation
23/205 (11%) Perinatal
mortality
and severe
morbidity
20/201 11/204 1.85 [0.91 to 3.75]

Caesarean
section
NA NA

Perinatal
mortality
alone
1/201 0/204 3.04 [0.12 to 74.30]

Doppler

Burke 1992 Doppler 9/241 (4%) Control 16/235(7%) Perinatal
mortality
and severe
morbidity
NA NA

Caesarean
section
58/241 51/235 1.11 [0.80 to 1.54]

Perinatal
mortality
alone
4/241 3/235 1.11 [0.80 to 1.54]

Hofmeyr 1991 Doppler 49/438 (11%) Fetal heart rate 65/459 (14%) Perinatal
mortality
and severe
morbidity
70/438 77/459 0.95 [0.71 to 1.28]

Caesarean
section
107/438 123/459 0.91 [0.73 to 1.14]

Perinatal
mortality
alone
4/438 8/459 0.52 [0.16 to 1.73]

Johnstone 1993 Doppler group 157/1114 (14%) Non-Doppler group 181/1175 (15%) Perinatal
mortality
and severe
morbidity
NA NA

Caesarean
section
170/1114 198/1175 0.91 [0.75 to 1.09]

Perinatal
mortality
alone
NA NA

Williams 2003 Doppler group 147/649 (23%) Non-stress test group 162/691 (23%) Perinatal
mortality
and severe
morbidity
16/649 24/691 0.71 [0.38 to 1.32]

Caesarean
section
183/649 223/691 0.87 [0.74 to 1.03]

Perinatal
mortality
alone
0/649 1/691 0.35 [0.01 to 8.70]

Biophysical profile

Jamal 2007 Modified biophysical profile 18/96 (19%) Biophysical profile 8/104 (8%) Perinatal
mortality
and severe
morbidity
NA NA

Caesarean
section
NA NA

Perinatal
mortality
alone
1/96 1/104 1.08 [0.07 to 17.08]

Abnormal
test results
30/96 24/104 1.52 [0.81 to 2.84]

Manning 1984 Biophysical profile scoring group, 16/375 (4%) Non-stress testing scheme group 13/360(4%) Perinatal
mortality
and severe
morbidity
NA NA

Caesarean
section
NA NA

Perinatal
mortality
alone
4/375 4/360 0.96 [0.24 to 3.81]

Abnormal
test result
23/375 61/360 0.32 [0.19 to 0.53]

Sood 2007 Modified biophysical profile following vibroacoustic stimulation group 15/110 (14%) Mock stimulation group 13/104 (13%) Perinatal
mortality
and morbidity
4/110 8/104 0.47 [0.15 to 1.52]

Caesarean
section
NA NA

Perinatal
mortality
alone
2/110 3/104 0.63 [0.11 to 3.70]

Abnormal
test result
3/110 7/104 0.41 [0.11 to 1.53] first)

Acoustic stimulation

Newnham 1990 Fetal acoustic stimulation group 17/90 (19%) Non-stress testing scheme group 13/82 (16%) Perinatal
mortality
and severe
morbidity
NA NA

Caesarean
section
NA NA

Perinatal
mortality
alone
0/90 0/82 Not estimable

Non-reactive CTG 17/150* 25/150* 0.64 [0.33 to 1.24]

Sleutel 1990 Single 5 second vibroacoustic stimulus group 1/23 (4%) Intermittent vibroacoustic stimuli group 5/22 (23%) Perinatal
mortality
and severe
morbidity
NA NA

Caesarean
section
NA NA

Perinatal
mortality
alone
NA NA

Smith 1986 Fetal acoustic stimulation group 63/366 (17%) Non-stress test group 49/349 (14%) Perinatal
mortality
and severe
morbidity
NA NA

Caesarean
section
NA NA

Perinatal
mortality
alone
0/366 1/349 0.32 [0.01 to 7.78]

Non-reactive test 78/858* 122/869* 0.61 [0.45 to 0.83]

Tongsong 1994 Fetal acoustic stimulation group 128/635 (20%) Non-stress test group 129/638 (20%) Perinatal
mortality
and severe
morbidity
NA NA

Caesarean
section
NA NA

Perinatal
mortality
alone
NA NA

Non-reactive
CTG
43/635* 88/638* 0.49 [0.35 to 0.70]

In May 2011 the lead authors on each of the following trials were contacted regarding the availability of outcomes specifically for cases admitted to the trial with decreased fetal movements. Data for this subgroup were available only for the 28 cases in Sood 2007. The data above refers to the whole sample in each trial.

*

NB refers to number of tests, not women