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一个常见的问题:还没有感觉到宝宝的动是不是正常的?

A frequently asked question: Is it normal not to feel my baby's movements yet?

机构信息

Department of Obstetrics and Gynecology, Kayseri Training and Research Hospital, Kayseri, Turkey.

Department of Obstetrics and Gynecology, Kayseri Training and Research Hospital, Kayseri, Turkey.

出版信息

J Chin Med Assoc. 2018 Aug;81(8):742-746. doi: 10.1016/j.jcma.2017.07.014. Epub 2017 Nov 1.

DOI:10.1016/j.jcma.2017.07.014
PMID:29079116
Abstract

BACKGROUND

This study aims to investigate average gestational week in which mothers feel their baby's movements for the first time, and the maternal-fetal factors affecting this time.

METHODS

A total of 423 pregnant women between 11 and 25 weeks of gestation were included in this prospective study. The patient cohort was divided into three subgroups according to the gestational week in which fetal movements were felt for the first time by the pregnant women. The women who felt the first movement before 25th percentile value constituted Group 1; between 25th and 75th percentile value constituted Group 2; and beyond 75th percentile value constituted Group 3. These three groups were then compared in terms of maternal age, parity, body mass index (BMI), tea and coffee consumption during pregnancy, smoking, educational status, accordance of mother to regular pregnancy follow-ups, placental site, and gender of the baby.

RESULTS

These three groups were statistically and significantly different regarding the above mentioned determinants except for mothers' tea and coffee consumption, smoking, and gender of the baby (p < 0.05).

CONCLUSION

This study revealed factors that affect maternal perception of first fetal movements in both a positive and negative manner. Although it is hard to define an exact time for each individual, an approximate time according to our data can be given to a mother, which considers an affecting factor on the basis of average gestational week.

摘要

背景

本研究旨在探讨母亲首次感觉到胎儿运动的平均孕周,以及影响这一时间的母体-胎儿因素。

方法

本前瞻性研究共纳入 423 名 11 至 25 孕周的孕妇。根据孕妇首次感觉到胎儿运动的孕周,将患者队列分为三组。在第 25 百分位值之前感觉到第一次运动的孕妇构成第 1 组;在第 25 百分位值至第 75 百分位值之间的孕妇构成第 2 组;超过第 75 百分位值的孕妇构成第 3 组。然后比较三组在母亲年龄、产次、体重指数(BMI)、孕期饮茶和咖啡、吸烟、教育程度、是否按时进行常规妊娠随访、胎盘位置以及胎儿性别等方面的差异。

结果

这些三组在上述因素方面存在统计学和显著差异,除了母亲的茶和咖啡消费、吸烟和胎儿性别(p<0.05)。

结论

本研究揭示了影响母亲首次感知胎儿运动的因素,这些因素具有正反两方面的影响。尽管很难为每个个体定义确切的时间,但根据我们的数据可以为母亲提供一个大致的时间,该时间考虑了平均孕周的影响因素。

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