Eisenberg de Smoler P, Dominguez de Costa C, Mejia de Cabrera R, Karchmer S
J Gynecol Obstet Biol Reprod (Paris). 1979 Mar;8(2):137-42.
The authors present seven pregnant patients with Rh immunisation. Four of them were of mild degree and three were severely inmunised. All of them had an exercise tolerance test as well as an oxytocin test to evaluate the fetal response to maternal exercise and uterine contractility. The classification utilized for evaluating the fetal response to exercise and its clinical implications are presented. It is concluded that the exercise test is of diagnostic and prognostic value regarding chronic distress during pregnancy and the oxytocin test may help to decide wether the fetus will tolerate the uterine contractions of parturition, and if surgical intervention might be contemplated if during a monitorized labor severe fetal heart changes occur.
作者报告了7例Rh免疫的孕妇。其中4例程度较轻，3例为严重免疫。所有患者均进行了运动耐量试验和催产素试验，以评估胎儿对母体运动和子宫收缩的反应。文中介绍了用于评估胎儿对运动的反应及其临床意义的分类方法。结论是，运动试验对妊娠期慢性窘迫具有诊断和预后价值，催产素试验可能有助于确定胎儿是否能耐受分娩时的子宫收缩，以及在监测分娩过程中若出现严重胎儿心脏变化时是否可能考虑手术干预。
