Wladimiroff J W, Roodenburg P J
Acta Obstet Gynecol Scand. 1982;61(1):65-8. doi: 10.3109/00016348209156954.
Measurement of the percentage incidence of fetal breathing and gross body movements as well as of maternal blood glucose concentration was carried out in 12 insulin-dependent diabetic pregnant women and 12 normal controls between 33 and 37 weeks of gestation. The observation period was related to the three meal times. In diabetics no diurnal variation in pre-prandial fetal breathing activity was observed whereas in normal controls fetal breathing incidence was significantly higher before evening dinner than before breakfast. Immediately following lunch and dinner, fetal breathing demonstrated a significantly lower incidence in diabetics than in normals. Since no significant difference in maternal blood glucose concentration was found between the two groups, it is suggested that other factors relative to carbohydrate metabolism may also be involved in the regulation of fetal breathing in diabetes. Fetal gross body activity in diabetics vs. normals did not differ essentially and demonstrated no correlation with the maternal blood glucose levels.
对12名胰岛素依赖型糖尿病孕妇和12名正常对照者在妊娠33至37周期间进行了胎儿呼吸和总体身体运动的发生率以及孕妇血糖浓度的测量。观察期与三餐时间相关。在糖尿病患者中，未观察到餐前胎儿呼吸活动的昼夜变化，而在正常对照者中，晚餐前的胎儿呼吸发生率明显高于早餐前。午餐和晚餐后立即观察发现，糖尿病患者的胎儿呼吸发生率明显低于正常对照者。由于两组孕妇的血糖浓度没有显著差异，因此提示糖尿病中与碳水化合物代谢相关的其他因素可能也参与了胎儿呼吸的调节。糖尿病患者与正常对照者的胎儿总体身体活动没有本质差异，且与孕妇血糖水平无关。
