原创力文档temporal patterns in count-to-ten fetal movement charts and their associations with pregnancy characteristics a prospective cohort study时态模式数到十胎儿运动图表和他们对怀孕特征前瞻性队列研究.pdfVIP
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temporal patterns in count-to-ten fetal movement charts and their associations with pregnancy characteristics a prospective cohort study时态模式数到十胎儿运动图表和他们对怀孕特征前瞻性队列研究
Winje et al. BMC Pregnancy and Childbirth 2012, 12:124
/1471-2393/12/124
RESEARCH ARTICLE Open Access
Temporal patterns in count-to-ten fetal movement
charts and their associations with pregnancy
characteristics: a prospective cohort study
Brita Askeland Winje1*, Jo Røislien1,2 and J Frederik Frøen1
Abstract
Background: Fetal movement counting has long been suggested as a screening tool to identify impaired placental
function. However, quantitative limits for decreased fetal movement perform poorly for screening purposes,
indicating the need for methodological refinement. We aimed to identify the main individual temporal patterns in
fetal movement counting charts, and explore their associations with pregnancy characteristics.
Methods: In a population-based prospective cohort in Norway, 2009–2011, women with singleton pregnancies
counted fetal movements daily from pregnancy week 24 until delivery using a modified count-to-ten” procedure.
To account for intra-woman correlation of observations, we used functional data analysis and corresponding
functional principal component analysis to identify the main individual temporal patterns in fetal movement count
data. The temporal patterns are described by continuous functional principal component (FPC) curves, with an
individual score on each FPC for each woman. These scores were later used as outcome variables in multivariable
linear regression analyses, with pregnancy characteristics as explanatory variables.
Results: Fetal movement charts from 1086 pregnancies were included. Three FPC curves explained almost 99% of
the variation in the temporal data, with the first FPC, representing the individual overall counting time, accounting
for 91% alone. There were several statistically significant associations between the FPCs and various pregnancy
characteristics. However, t
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