Newnham J P, Burns S E, Szczygielski C, Roberman B
Department of Obstetrics, King Edward Memorial Hospital for Women, Perth, Western Australia.
J Reprod Med. 1988 Apr;33(4):356-60.
Antepartum fetal heart rate monitoring can be performed with either the nonstress or contraction stress method. The recent introduction of nipple stimulation as a means of achieving uterine contraction has simplified performance of contraction stress tests and raises the possibility that that test may be a more rapid approach to antepartum fetal heart rate testing than the nonstress test. In order to investigate the time taken to achieve a satisfactory end point of fetal heart rate monitoring, 186 women were randomized to either "intention to perform nonstress test" or "intention to perform nipple stimulation contraction stress test." Neither approach was found to be significantly faster than the other. One-third of all completed contraction stress tests were classified as equivocal and required further investigation or management. The nipple stimulation contraction stress test was not found to be a more rapid approach to antepartum fetal heart rate monitoring than the nonstress test.
产前胎儿心率监测可采用无应激试验或宫缩应激试验方法进行。最近引入的乳头刺激作为诱发子宫收缩的一种手段，简化了宫缩应激试验的操作，并增加了该试验可能比无应激试验更快速地进行产前胎儿心率检测的可能性。为了研究达到满意的胎儿心率监测终点所需的时间，186名妇女被随机分为“打算进行无应激试验”或“打算进行乳头刺激宫缩应激试验”两组。结果发现，两种方法在速度上均无显著差异。所有完成的宫缩应激试验中有三分之一被归类为可疑，需要进一步检查或处理。乳头刺激宫缩应激试验并未被证明比无应激试验更快速地进行产前胎儿心率监测。
