Bailey D, Flynn A M, Kelly J, O'Conor M
Br J Obstet Gynaecol. 1980 Jul;87(7):561-4. doi: 10.1111/j.1471-0528.1980.tb05003.x.
The assessment of fetal wellbeing in patients with multiple pregnancy by nonstressed antepartum cardiotocography is technically feasible and of clinical value. In 50 patients (101 babies) who were monitored during the antepartum period, there were five patients in whom one of a pair of twins showed a non-reactive cardiotogram. Four of these babies died (two intrauterine deaths and two neonatal deaths). All of these five babies were growth retarded at birth. The cardiotocograms from the other 96 fetuses were 'reactive' and these babies were normal. Cardiotocography seems to be a better predictor of perinatal mortality and morbidity than serial urinary oestrogens or serial biparietal diameter measurements in multiple pregnancy.
通过无应激产前胎心监护评估多胎妊娠患者的胎儿健康状况在技术上是可行的，且具有临床价值。在50例（101个胎儿）产前接受监护的患者中，有5例患者的一对双胞胎中的一个显示出无反应型心电图。这些婴儿中有4例死亡（2例宫内死亡和2例新生儿死亡）。这5例婴儿出生时均发育迟缓。其他96例胎儿的胎心监护图为“反应型”，这些婴儿均正常。在多胎妊娠中，胎心监护似乎比连续测定尿雌激素或连续测量双顶径更能预测围产期死亡率和发病率。
