Sadovsky E, Laufer N, Allen J W
Br J Obstet Gynaecol. 1979 Jan;86(1):10-4. doi: 10.1111/j.1471-0528.1979.tb10675.x.
In high risk pregnancies with severe fetal distress, a reduction of fetal movements may take place before fetal death occurs. This decrease is accompanied by a weakening of the fetal movements. One hundred and twenty pregnant women (310 recordings) between 20 and 41 weeks gestation recorded fetal movements and classified them into weak, strong, and rolling. The movements noted by the woman were correlated to those recorded by a fetal movements recorder. The rate of weak movements gradually decreased until the 36 to 37th week, while the strong and rolling movements increased. From the 36 to 37th week till term weak movements increased again with a decline in strong and rolling movements. Before fetal death, or in severe fetal distress with decreased total movements, the relative rate of weak movements increased. Reduction in daily total movements without a change in the distribution of the type of movement may not indicate fetal distress.
在伴有严重胎儿窘迫的高危妊娠中,胎动减少可能在胎儿死亡前出现。这种减少伴随着胎动力度减弱。120名妊娠20至41周的孕妇(共310次记录)记录了胎动情况,并将其分为微弱、强烈和翻动三种类型。孕妇记录的胎动与胎动记录仪记录的胎动进行了关联。微弱胎动的比例逐渐下降,直至孕36至37周,而强烈和翻动胎动则增加。从孕36至37周直至足月,微弱胎动再次增加,同时强烈和翻动胎动减少。在胎儿死亡前,或在总胎动减少的严重胎儿窘迫情况下,微弱胎动的相对比例增加。每日总胎动减少但胎动类型分布无变化可能并不表明胎儿窘迫。