Sapphire Garcia-Glancy Count the Kicks Ambassador- Kansas ? ? Hea - PowerPoint PPT Presentation

Sapphire Garcia-Glancy Count the Kicks Ambassador- Kansas

? ? Hea Healthca care ? Baby Baby Commun Community ity Resources esources

• Pregnant with second child • No systemic conditions • Educated • Medical background, familiar with medical lingo • Prenatal care started at 4 weeks gestation • Compliant with medical advice • No prior complications Thi his patient r rep eports ts a a signi gnificant r reduc uction in f n feta tal movement to to he her phy hysician a at t a a routi utine 3 38 we week appointm tment. nt. How does the practitioner respond?

Unanswered questions: o How MUCH movement is considered “less”? o How MANY movements should I expect? o At what point should I call the doctor’s office? o Is something wrong with my baby? o Who do I ask if I need more information?

Three days later…a s t i l l b i r t h B o r n J u l y 7 t h , 2013 E l l a w a s t h e v i c t i m o f a t i g h t n u c h a l c o r d

*M o v e m e n t s h o u l d b e r e c o r d e d o n c e e a c h d a y , s t a r t i n g a t t h e s a m e t i m e e v e r y d a y . *S w i s h e s , r o l l s , j a b s , a n d k i c k s s h o u l d b e c o u n t e d a s m o v e m e n t s . H i c c u p s a r e N O T i n c l u d e d i n t h i s c o u n t . *R e c o r d t h e t i m e t h a t y o u s t a r t c o u n t i n g m o v e m e n t s . *C o n t i n u e c o u n t i n g 0. m o v e m e n t s u n t i l y o u r e a c h 1 *R e c o r d t h e e n d i n g t i m e . *T r a c k t h e t o t a l t i m e t o g e t t o t e n m o v e m e n t s E V E R Y D A Y . *I f y o u n o t i c e a s i g n i f i c a n t c h a n g e i n y o u r b a b y ’s

e n e f i t s : B e n e *M o v o v e m e n t s c a n a n b e b e q u a q u a n t i f i e d a n d d e s a n d d e s c r i b e d o v o v e r t h e c h e c o u r o u r s e o f o f t h e h e e r t h i r d t t r i m e s e s t e r *A b a s b a s e l i n e o f o f f f e t e t a l m o v o v e m e n t c a n a n b e b e h e d e s t a b a b l i s h e d *T h i h i s m m a y a y s e r e r v e a s a s a n a n i n i t i a l a l s s c r e e n i e e n i n g n g t o o l t o i d e d e n t i f y b a b i b a b i e s w h o h o n e e n e e d n g a d d i d i t i o n o n a l a l t e s t i n g

Pregnant women perceive fetal movements and can describe them in a relatively homogenous way throughout pregnancy that follows a general pattern of fetal growth and development. Raynes-Greenow C, Gordon A, Qiushuang L, Hyett J. A cross-sectional study of maternal perception of fetal movements and antenatal advice in a general pregnant population, using a qualitative framework. BMC Pregnancy & Childbirth [serial online]. March 2013;13(1):1-8. Maternal body mass index, gestational age and placental site explained little of the variation in temporal fetal movement counting patterns. Thus, a perceived decrease in fetal movement should not be attributed to a woman's basic pregnancy characteristics, but assessed as a potential marker of risk. Winje B, Røislien J, Frøen J. Temporal patterns in count-to-ten fetal movement charts and their associations with pregnancy characteristics: a prospective cohort study. BMC Pregnancy & Childbirth [serial online]. January 2012;12(1):124-135. Available from: Academic Search Complete, Ipswich, MA. Accessed October 14, 2013. Improved management of DFM and uniform information to women is associated with fewer stillbirths. The stillbirth rate among women with DFM fell during an intervention by almost 50% and by 30% in the entire group. Reduction of late stillbirth with the introduction of fetal movement information and guidelines - - a clinical quality improvement. BMC Pregnancy & Childbirth [serial online]. January 2009;9:32- 41. Available from: Academic Search Complete, Ipswich, MA. Accessed February 11, 2014.

A mother living in Kansas City, who was given information from the CTKs campaign says: "We had a bit of an emergency. Friday I came into triage because I hadn't felt her move all day. Her vitals were low and they discovered her umbilical cord was wrapped around her neck four times. Also, I was way too far past due and the placenta had become too old to provide her nutrients. So we had an emergency c-section and she came into this world perfectly healthy! She is doing amazing and couldn't be healthier! My doctor said we saved her life by coming in on Friday. We are so thankful and feeling truly blessed."