Schmidt W, Cseh I, Hara K, Neusinger J, Kubli F
Geburtshilfe Frauenheilkd. 1982 Nov;42(11):798-802. doi: 10.1055/s-2008-1037162.
In a prospective study the foetal movements were simultaneously registered with two real time ultra-sound instruments and compared with the maternal perception of the movements. 35 patients were studied with a mean investigation time of 20 minutes per patient. The mothers pushed a button when they perceived a movements. Synchronous to this registration and storage on a tape were done of the movements of the upper and lower extremities the body movements and the foetal respiratory movements, the foetal heart rate and the uterine contractions. The mothers noticed a total of 38% of all foetal movements. Most frequently the mother noticed in 78% of the cases total foetal movements of the body and extremities. Isolated movements of the foetal body without movements of the extremities were only perceived by the mothers in 31% of the cases and isolated movements of the extremities were only perceived in 15%. In 69% of the cases the mothers correctly indicated that foetal movement took place. In 31% of all maternal signals there was no sonographic evidence of foetal movements of the body or the extremities. In 24% of these cases foetal respiratory movements were evident and in 23% of the cases Braxton-Hicks contractions were found. In 54% of these cases the signal button was used by the mothers without detectable reason. This high failure rate of maternal perception of foetal movements needs to be considered in the evaluation of foetal movements by the mother.
在一项前瞻性研究中，使用两台实时超声仪器同时记录胎儿运动，并与母亲对胎动的感知进行比较。对35例患者进行了研究，每位患者的平均检查时间为20分钟。母亲感觉到胎动时按下按钮。与此记录同步，并将胎儿上下肢运动、身体运动、胎儿呼吸运动、胎儿心率和子宫收缩情况存储在磁带上。母亲总共察觉到了所有胎动的38%。在78%的情况下，母亲最常察觉到胎儿身体和四肢的整体运动。母亲仅在31%的情况下察觉到胎儿身体单独运动而四肢未动，仅在15%的情况下察觉到四肢单独运动。在69%的情况下，母亲正确指出发生了胎儿运动。在所有母亲发出的信号中，有31%没有超声证据显示胎儿身体或四肢有运动。在这些情况中，24%有明显的胎儿呼吸运动，23%发现有 Braxton-Hicks 宫缩。在54%的这些情况中，母亲按下信号按钮却没有可检测到的原因。在评估母亲对胎儿运动的感知时，需要考虑这种母亲对胎动感知的高失败率。
