Arabin B, Gembruch U, von Eyck J
Department of Obstetrics, University Clinic, Berlin-Steglitz, Fed. Rep. of Germany.
J Perinat Med. 1993;21(4):285-94. doi: 10.1515/jpme.1993.21.4.285.
Multiple pregnancies require intensive monitoring of the fetal condition, in particular during the last months of pregnancy. Recording fetal behaviour offers a possibility of investigating the neuromotor development, in twin pregnancies even behavioural patterns of fetuses of the same gestational age and "environment" may be compared. In 25 primarily uncomplicated twin pregnancies we simultaneously recorded antepartum FHR and FM patterns in twins younger than 36 completed gestational weeks over a period of at least one hour via a new device for simultaneous registration of FM and FHR in twin pregnancies. According to our longitudinal observations we have defined a special terminology for comparing the behaviour of twins considering gestational age, differences of FHR or FM patterns and the continuity of these patterns throughout gestation. To our opinion this will open a new field not only for clinical diagnostics in complicated twin pregnancies but also for developmental research of the possible impact on the further neurological development of multiple fetuses. Human behaviour in its early stage may be compared considering even "interfetal communication".
多胎妊娠需要对胎儿状况进行密切监测，尤其是在妊娠的最后几个月。记录胎儿行为为研究神经运动发育提供了一种可能，在双胎妊娠中，甚至可以比较相同孕周和“环境”的胎儿的行为模式。在25例基本无并发症的双胎妊娠中，我们通过一种用于双胎妊娠中同时记录胎动（FM）和胎心率（FHR）的新设备，对36个完整孕周以下的双胎进行了至少一小时的产前FHR和FM模式的同步记录。根据我们的纵向观察，我们定义了一种特殊的术语，用于比较双胎的行为，同时考虑孕周、FHR或FM模式的差异以及这些模式在整个孕期的连续性。我们认为，这不仅将为复杂双胎妊娠的临床诊断开辟一个新领域，也将为研究多胎对胎儿进一步神经发育可能产生的影响的发育研究开辟一个新领域。甚至可以考虑“胎儿间交流”来比较人类早期行为。
