Cross-over trial comparing maternal acceptance of two fetal movement charts

F. C. Christensen, K. Olson, W. F. Rayburn

Research output: Contribution to journalArticlepeer-review


Objective: To compare two daily fetal movement charting techniques to determine which chart was preferred by patients and which promoted more patient adherence. Methods: This randomized trial included patients with singleton gestations between 28 and 34 weeks' gestation, with intact membranes and not in labor. Consenting women were given a Hollister® chart and a 'count to 10' chart in a cross-over manner over two consecutive 1-week periods. Each patient answered a questionnaire establishing which chart was preferred. All returned charts were evaluated for patient adherence. Data were analyzed using either the Yates-corrected χ2 test or Fisher's exact test when appropriate. Results: Forty patients agreed to participate, and 31 completed and returned both charts. The 'count to 10' chart was clearly preferred over the Hollister chart (29 vs. 2; p = 0.002) because of the shorter recording period (median 23 min vs. 1 h; p < 0.01). The proportion of patients who fully completed the 'count to 10' chart during the week was significantly higher than the proportion completing the Hollister chart (68% vs. 26%; p < 0.001). Conclusion: The 'count to 10' fetal movement chart was clearly preferred and promoted a higher level of adherence.

Original languageEnglish (US)
Pages (from-to)118-122
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Issue number2
StatePublished - Aug 1 2003
Externally publishedYes


  • Antenatal testing
  • Fetal movement
  • Fetal movement chart
  • Fetal surveillance

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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