One-Year Review Of Reduced Fetal Movements In Izzat Ali Shah MCH Center: A Predictor Of Poor Perinatal Outcome

Objectives: To find out common causes of reduced fetal movements. The purpose is to reduce perinatal morbidity and mortality.
 Methodology: This Prospective, Observational study was conducted at Izzat Ali Shah Maternal child health center, unit III Gynae, Wah medical college Cantt, from January 2019 December 2019. A total participants 160, who presented in the antenatal outpatient or emergency department with movements, were included study. Patients active phase labor excluded followed up till delivery. All necessary information, investigations, examination points noted on predesigned proforma. Data analyzed by using SPSS version 22.
 Results: Out a 160 patients, 144 had alive stable babies. Regarding age group, six patients teenagers (3.75%), 98 (61.25%) between 20-30 years, 55(34.3%) group 30-40 years. gestational presentation, 27 160(16.8%) 30-35 weeks, 133(83.12%) 36-40 weeks. None below 30 Concerning number pregnancy, primigravida 82(51.25%), 60(37.5%) multigravida, 18 (11.25%) grand multipara. history, anemia seen 31 (19.37%), pregnancy-induced hypertension 20(12.5%), 65 %( 104) has no significant history. past obstetrical 107(66.8%) fell under low-risk pregnancies, 18(11.25%) previously normal deliveries but 08(05%) H/O still births. placental position, 71(44.37%) anterior, posterior, (11.25) fundal placenta. UAD, 136(85%) umbilical artery Doppler, 13(8.12%) altered, 06(3.75%) Absent 05 (3.12%) reversed end diastolic flow. During study, 78(48.7%) AFI, 69(43.12%) Oligohydramnios, 10(6.25%) anhydramnios, while only 03(1.87%) polyhydramnios. birth weight, 122(76.25%) average 32(20%) low weight 05(3.12%) very weight. 61(38.12%) went into NICU, 99(61.8%) admission required.
 Conclusion: Most risk factor cause movements liquor, (79). which 69 remained after birth, 15 early neonatal deaths. second found abnormal Doppler,(24). which, 14 deaths intrauterine showed increased obligation care required decreased movement. Although live births more as compared demise, it results rates, higher induction cesarean section surveillance demands, an financial burden parents. It signifies need for vigilance this area practice. But we can’t neglect perception mother. Mother’s feelings are important than any other test.