Schellpfeffer M A, Hoyle D, Johnson J W
Obstet Gynecol. 1985 Apr;65(4):588-91.
An alarming result was noted in conjunction with a nipple stimulation contraction stress test. In a 42-week pregnant woman with suspected postmaturity, gentle self-stimulation of the right nipple through the clothing for one to 1.5 minutes caused the sudden onset of uterine hypercontractility, increased uterine tone, and severe fetal bradycardia. The bradycardia persisted for approximately five minutes despite supportive measures. Operative delivery was being considered when the fetal heart rate returned to a normal baseline. Ultimately, the patient delivered vaginally without further significant complication. This experience demonstrated that carefully controlled breast stimulation may result in unpredictable uterine hyperstimulation with fetal bradycardia.
在一次乳头刺激宫缩应激试验中出现了一个令人担忧的结果。在一名怀疑过期妊娠的42周孕妇中，通过衣物轻柔地自行刺激右侧乳头1至1.5分钟，导致子宫突然出现高收缩性、子宫张力增加以及严重的胎儿心动过缓。尽管采取了支持措施，心动过缓仍持续了约五分钟。当胎儿心率恢复到正常基线时，曾考虑进行手术分娩。最终，患者经阴道分娩，没有出现进一步的严重并发症。这一经历表明，精心控制的乳房刺激可能会导致不可预测的子宫过度刺激并伴有胎儿心动过缓。
