Zahn V
Z Geburtshilfe Perinatol. 1978 Aug;182(4):363-8.
The number of contractions was recorded in 26 healthy primiparae and 28 multiparae from the 25th to 41st week of pregnancy. A remarkable incidence peak was seen around the 32nd week. The number of pregnancy contractions is not sufficient as the only parameter for recognising an impending premature delivery. However, it does represent a valuable aid when taking the anamnesis and portio findings into consideration. The authors consider tocolysis indicated if more than two contractions per hour are recorded as mean value over a period of one week in conjunction with a tendency of the portio to open up, or if more than three contractions are recorded independent of this sign. Taking individual daily into consideration, the relevant limit is three contractions per hour between the 25th and 28th week, and five contractions per hour between the 29th and 32nd week of pregnancy.
记录了26名健康初产妇和28名经产妇在妊娠第25至41周的宫缩次数。在第32周左右出现了一个明显的发生率峰值。妊娠宫缩次数作为识别即将发生的早产的唯一参数是不够的。然而,在考虑病史和宫颈检查结果时,它确实是一个有价值的辅助手段。作者认为,如果在一周的时间内平均每小时记录到超过两次宫缩,同时伴有宫颈扩张的趋势,或者无论有无此迹象记录到超过三次宫缩,则表明需要进行宫缩抑制治疗。考虑到个体每日情况,在妊娠第25至28周,相关限度是每小时三次宫缩,在第29至32周是每小时五次宫缩。