Esin Sertac, Baser Eralp, Cakir Caner, Ustun Tuncal Gul Nihal, Kucukozkan Tuncay
Obstetrics and Gynecology Department, Dr Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey.
J Matern Fetal Neonatal Med. 2013 Jun;26(9):915-9. doi: 10.3109/14767058.2013.766698. Epub 2013 Feb 11.
The objective of the study was to compare bitter chocolate and orange juice with the control group for non-reactive non-stress test (NST) patterns and for maternal perception of fetal movements.
Pregnant women who were followed-up on an outpatient basis and admitted for a NST and had a non-reactive result were randomized prospectively into bitter chocolate, orange juice and control groups. 180 patients were evaluable for the final analysis.
Although there was a trend for orange juice group for having higher percentages of reactive NST patterns on control, there was no statistically significant difference between three groups (p = 0.159). Besides this, maternal perception of increased fetal movements was similar between groups (p = 0.755). The control group had lower post-test capillary blood glucose concentrations when compared with chocolate and orange juice groups (p = 0.01) and after post-hoc tests, this difference was found to be between orange juice and control groups.
Although orange juice resulted in higher blood glucose levels, this was not synonymous with better NST results on control; in such a way that bitter chocolate, orange juice and no intervention had similar effects on non-reactive NST patterns and also on maternal perception of fetal movements.
本研究的目的是比较苦巧克力和橙汁与对照组在无应激试验（NST）模式以及孕妇对胎动的感知方面的差异。
对门诊随访并因NST结果无反应而入院的孕妇进行前瞻性随机分组，分为苦巧克力组、橙汁组和对照组。180例患者可纳入最终分析。
尽管与对照组相比，橙汁组出现反应性NST模式的百分比有上升趋势，但三组之间无统计学显著差异（p = 0.159）。除此之外，各组孕妇对胎动增加的感知相似（p = 0.755）。与巧克力组和橙汁组相比，对照组的试验后毛细血管血糖浓度较低（p = 0.01），在事后检验后，发现这种差异存在于橙汁组和对照组之间。
尽管橙汁导致血糖水平升高，但这并不等同于在对照组中能获得更好的NST结果；也就是说，苦巧克力、橙汁和不干预对无反应的NST模式以及孕妇对胎动的感知具有相似的影响。
