Divon M Y, Barnhard Y
Department of Obstetrics and Gynecology, Jack D. Weiler Hospital, Albert Einstein College of Medicine, New York, New York.
J Assoc Acad Minor Phys. 1994;5(3):126-31.
The primary objective of fetal surveillance is to prevent antenatal fetal deaths, which still account for greater than one half of perinatal mortality. Several techniques for assessing fetal well-being are available to the practicing obstetrician, including fetal movement counting, nonstress testing, contraction stress testing, fetal biophysical assessment with real-time sonography, and Doppler ultrasonography for measuring umbilical and fetal blood flow. Despite several unanswered questions regarding fetal surveillance, identification of high-risk pregnancies allows appropriate fetal evaluation that can reduce intrauterine fetal death rates.
胎儿监测的主要目标是预防产前胎儿死亡，而产前胎儿死亡在围产期死亡率中仍占一半以上。执业产科医生可采用多种评估胎儿健康状况的技术，包括胎动计数、无应激试验、宫缩应激试验、实时超声进行胎儿生物物理评估以及用于测量脐血流和胎儿血流的多普勒超声检查。尽管关于胎儿监测仍有一些未解决的问题，但识别高危妊娠可进行适当的胎儿评估，从而降低宫内胎儿死亡率。
