Unterscheider J, Horgan R P, Greene R A, Higgins J R
The Anu Research Centre, Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland.
J Obstet Gynaecol. 2010;30(6):578-82. doi: 10.3109/01443615.2010.481733.
There is currently inconsistent evidence and clinical guidance on how to best manage a pregnancy complicated by reduced fetal movements. This novel, web-based, anonymous questionnaire evaluated 96 assessment and management approaches from doctors working in obstetrics in the Republic of Ireland who were presented with a clinical scenario of a primigravida concerned about reduced fetal movements at 39+3 weeks' gestation. This study identified a lack of clinical practice guidelines available in maternity hospitals in the Republic of Ireland. We demonstrated that almost all clinicians applied more than one assessment method and that most incorporated a cardiotocograph into their assessment. There was a low uptake of simple symphysio-fundal height measurement and high usage of kickcharts. The minority of clinicians admitted or induced their patients. This survey identified the need for national and international guidelines to ensure safe antepartum care and delivery.
目前，关于如何最佳处理胎动减少的妊娠情况，证据和临床指导并不一致。这份新颖的基于网络的匿名调查问卷评估了爱尔兰共和国从事产科工作的医生针对一名妊娠39 + 3周、初产妇担心胎动减少的临床病例所采用的96种评估和处理方法。该研究发现爱尔兰共和国的妇产医院缺乏临床实践指南。我们证明几乎所有临床医生都采用了不止一种评估方法，并且大多数人在评估中纳入了胎心监护仪。简单的耻骨联合上子宫长度测量法的应用较少，而胎动记录图表的使用较多。少数临床医生会收治或引产他们的患者。这项调查确定了需要制定国家和国际指南，以确保安全的产前护理和分娩。
