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评估足月妊娠胎儿运动的工具的开发。

Development of a tool to evaluate fetal movements in full-term pregnancy.

机构信息

School of Health and Social Studies, Dalarna University, 791 88 Falun, Sweden; Department of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.

School of Health and Social Studies, Dalarna University, 791 88 Falun, Sweden; Institute of Health and Caring Sciences, Sahlgrenska Academy, University of Gothenburg, Box 100, 405 30 Gothenburg, Sweden; Department of Women's and Children's Health, Karolinska Institutet, 171 77 Stockholm, Sweden.

出版信息

Sex Reprod Healthc. 2014 Mar;5(1):31-5. doi: 10.1016/j.srhc.2013.11.003. Epub 2013 Dec 7.

DOI:10.1016/j.srhc.2013.11.003
PMID:24472387
Abstract

OBJECTIVE

To study women's description of fetal movements in full-term pregnancy. Further to investigate if their descriptions could be sorted with regard to intensity and type of movements, using a matrix under development to be a tool for evaluating fetal movements in clinical praxis.

METHODS

Data were collected by distributing questionnaires including an open question: "Please describe your perception of the baby's movements during this gestational week." A matrix listed seven categories of movements divided into powerful and non-powerful movements, was used for the content analysis.

RESULTS

393 (78%) women responded to the open question. The movements were split into two domains: Powerful movements and Non-powerful movements. Altogether, 383 (96%) women perceived fetal movements that were sorted as powerful movement: firm, slow stretching, large and side to side. Ten (4%) women described movements exclusively, i.e. movements that did not include any of the movements in the powerful domain. Most women perceived movements that corresponded to more than one type of category, and all movements described by the women could be referred to at least one of the categories in the matrix.

CONCLUSION

The matrix was useful for identification of the women's perceptions of fetal movements in full-term pregnancy. Further studies are needed in order to develop the tool and its potential to evaluate the well-being of the fetus before it is to be used in clinical praxis.

摘要

目的

研究足月妊娠女性对胎儿运动的描述。进一步探讨是否可以使用正在开发的矩阵根据运动的强度和类型对其描述进行分类,以便将其作为临床实践中评估胎儿运动的工具。

方法

通过分发问卷收集数据,问卷中包含一个开放式问题:“请描述您在本孕周内对婴儿运动的感知。”使用一个矩阵列出了分为有力和无力运动的七类运动,用于内容分析。

结果

393(78%)名女性回答了开放式问题。运动分为两个领域:有力运动和无力运动。总共,383(96%)名女性感知到的胎儿运动被归类为有力运动:坚实、缓慢伸展、大且左右移动。10(4%)名女性仅描述了运动,即不包括有力运动领域中的任何运动。大多数女性感知到的运动对应于不止一种类型的类别,而且女性描述的所有运动都可以至少参考矩阵中的一个类别。

结论

矩阵可用于识别足月妊娠女性对胎儿运动的感知。需要进一步研究以开发该工具及其在临床实践中使用之前评估胎儿健康状况的潜力。

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