Pillai M, James D
University Department of Obstetrics, Bristol Maternity Hospital, UK.
Fetal Diagn Ther. 1990;5(1):15-32. doi: 10.1159/000263530.
Most of the movements described during the course of gestation have already emerged before 16 weeks, and the presence of diurnal variation in human fetal behavior has been demonstrated from as early as 20 weeks gestation. Up to 26 weeks quiet intervals rarely exceed 5 min. After this age quiet intervals progressively increase in duration so that behavior appears cyclically rather than randomly distributed. Increasing linkage of the state variables results in identifiable fetal behavioral states from around 36 weeks. During the last trimester fetal activities are cycle- or state-dependent, so that prolonged, and often repeated, recording of behavior is necessary before any sinister conclusions can be drawn.
孕期所描述的大多数胎动在孕16周前就已出现,早在孕20周时就已证实人类胎儿行为存在昼夜变化。到孕26周时,安静间隔很少超过5分钟。在这个年龄之后,安静间隔的持续时间逐渐增加,因此行为似乎呈周期性分布而非随机分布。从大约36周开始,状态变量之间的联系日益紧密,从而可以识别出胎儿的行为状态。在妊娠晚期,胎儿活动取决于周期或状态,因此在得出任何不祥结论之前,有必要对行为进行长时间且常常是重复的记录。