Ruckhäberle K E, Viehweg B, Schlegel C, Ruckhäberle B, Weissbach R, Schürer K
Zentralbl Gynakol. 1979;101(8):523-31.
Retrospective evaluation of percental frequency of pathological data gained by prepartual monitoring in pregnancies at risk of 180 small for gestational age infants and 130 eutrophic ones at term (postnatal classification). Parameters of interest were continuous maternal gain of weight, monthly progress of the size of the uterus, continuous ultrasomic cephalometria, maternal urinary estriol and serum heat stable alkaline phosphatase as well as amnioscopia and cardiotokographia with and without oxytocin challenge test. -- It seems that there is a significant better prediction of fetal retardation with the help of common clinical methods as well as with ultrasonic and that they are superior to the examined biochemical, cardiotocographical and amnioscopical parameters. With regard to possible additional disturbances of the fetoplacental unit--especially of respiratory placental function--in suspected intrauterine retardation the complete monitoring program should be taken.
对180例小于胎龄儿和130例足月营养良好儿(产后分类)的高危妊娠产前监测所获病理数据的百分比频率进行回顾性评估。感兴趣的参数包括孕妇体重的持续增加、子宫大小的每月进展、连续超声头颅测量、孕妇尿雌三醇和血清热稳定碱性磷酸酶,以及有无催产素激发试验的羊膜镜检查和胎心监护。——似乎借助常规临床方法以及超声对胎儿发育迟缓有显著更好的预测,且它们优于所检查的生化、胎心监护和羊膜镜检查参数。对于疑似宫内发育迟缓中可能存在的胎盘-胎儿单位的其他干扰——尤其是胎盘呼吸功能的干扰——应采用完整的监测方案。