Mandruzzato Giampaolo P, Meir Yoram J, Maso Giampaolo, Conoscenti Giancarlo, Rustico Mariangela A
Istituto per l'Infanzia Via Dell'Istria 65/1 Trieste, Italy.
J Perinat Med. 2003;31(5):399-407. doi: 10.1515/JPM.2003.062.
Monitoring of the intrauterine growth retarded fetus in order to improve fetal outcome and define precisely the timing of delivery, when necessary, is based on the study of changes in vital functions observable in cases of hypoxemia. It is easy to believe that ultrasound equipment with Doppler facilities is present in the majority if not in all gynecological units. Cardiotocography is also widely used and the addition of a computerized evaluation system is not expensive and therefore should be available when facing high risk pregnancies such as intrauterine growth retarded cases. IUGR can be recognized through the use of ultrasound fetal biometry and clinical examination of maternal conditions in order to assess fetal conditions. If the above technologies are available further action, such as fetal Doppler study of fetal vessels and cardiotocography, can then be undertaken. In this paper, we will be discussing the issue of monitoring the fetus for fetal well-being, particularly in cases of intrauterine growth retarded fetuses.
为改善胎儿结局并在必要时精确确定分娩时机而对宫内生长受限胎儿进行监测，是基于对低氧血症病例中可观察到的生命功能变化的研究。不难相信，即便不是所有，大多数妇科单位都配备了带有多普勒设备的超声仪器。胎心监护也被广泛应用，并且添加一个计算机化评估系统成本不高，因此在面对诸如宫内生长受限病例这样的高危妊娠时应该能够使用。宫内生长受限可以通过超声测量胎儿生物指标以及对母体状况进行临床检查来识别，以便评估胎儿状况。如果具备上述技术，那么就可以采取进一步的措施，比如对胎儿血管进行胎儿多普勒研究以及进行胎心监护。在本文中，我们将讨论监测胎儿以确保胎儿健康的问题，尤其是针对宫内生长受限胎儿的情况。
