Schmidt W, Cseh I, Hara K, Kubli F
J Perinat Med. 1984;12(6):313-8. doi: 10.1515/jpme.1984.12.6.313.
Two real-time ultrasound instruments were used simultaneously for comprehensive recording of "total" fetal motor activity in 50 patients in the second half of pregnancy. Synchronously, cardiotocographic findings and maternal perception of fetal movements were stored on magnetic tape. In most cases fetal "gross" movements were perceived by the mothers (mean: 63%). Isolated movements of fetal extremities were reported by the mother in only about 15% of all cases. Mothers registered a total of all movements in 37%. We found a statistically significant difference in the percentage of perceived fetal movements with regard to parity (p less than 0.001) and with regard to gestational age (p less than 0.01). With multiparity or an increasing gestational age the body movements of the fetuses were felt more accurately by the mothers. In 30% of all cases the mothers perceived movements without sonographic confirmation. The findings of this study suggest that maternal perception of major fetal body movements is accurate in the majority of cases. However, the relatively high rate of false positive maternal perception should be taken into consideration if the maternal record of daily fetal movements is to be used for fetal monitoring.
使用两台实时超声仪器同时对50例妊娠晚期孕妇的胎儿“总体”运动进行全面记录。同时，将胎心监护结果和母亲对胎动的感知记录在磁带上。在大多数情况下，母亲能感觉到胎儿的“大体”运动（平均为63%）。母亲仅在约15%的所有病例中报告了胎儿肢体的孤立运动。母亲记录下所有运动的占37%。我们发现，经产妇和初产妇在感知胎儿运动的百分比方面存在统计学显著差异（p<0.001），在不同孕周方面也存在差异（p<0.01）。经产妇或孕周增加时，母亲能更准确地感觉到胎儿的身体运动。在所有病例的30%中，母亲感觉到了胎动但未得到超声证实。本研究结果表明，在大多数情况下，母亲对胎儿主要身体运动的感知是准确的。然而，如果要将母亲记录的每日胎动用于胎儿监测，应考虑到母亲感知假阳性率相对较高的情况。
