Rayburn W F
Am J Obstet Gynecol. 1982 Dec 15;144(8):967-80. doi: 10.1016/0002-9378(82)90192-2.
The monitoring of fetal motion in high-risk pregnancies has been shown to be worthwhile in predicting fetal distress and impending fetal death. The maternal recording of perceived fetal activity is an inexpensive surveillance technique which is most useful when there is chronic uteroplacental insufficiency or when a stillbirth may be expected. The presence of an active, vigorous fetus is reassuring, but documented fetal inactivity required a reassessment of the underlying antepartum complication and further fetal evaluation with real-time ultrasonography, fetal heart rate testing, and biochemical testing. Fetal distress from such acute changes as abruptio placentae or umbilical cord compression may not be predicted by monitoring fetal motion. Although not used for routine clinical investigation, electromechanical devices such as tocodynamometry have provided much insight into fetal behavioral patterns at many stages of pregnancy and in pregnancies with an antepartum complication.
在高危妊娠中，监测胎动已被证明对于预测胎儿窘迫和即将发生的胎儿死亡是有价值的。孕妇记录感觉到的胎儿活动是一种廉价的监测技术，当存在慢性子宫胎盘功能不全或预计会发生死产时最为有用。活跃、有力的胎儿让人安心，但记录到胎儿活动减少则需要重新评估潜在的产前并发症，并通过实时超声检查、胎儿心率检测和生化检测对胎儿进行进一步评估。胎盘早剥或脐带受压等急性变化引起的胎儿窘迫可能无法通过监测胎动来预测。虽然宫缩图等机电设备未用于常规临床研究，但它们在妊娠的许多阶段以及有产前并发症的妊娠中，为深入了解胎儿行为模式提供了很多信息。
