Sasaki J, Nabeshima Y, Inaba J, Mesaki N
Department of Obstetrics and Gynecology, University of Tsukuba, Ibaraki.
Nihon Sanka Fujinka Gakkai Zasshi. 1993 Feb;45(2):93-8.
Fetal physiology during swimming in pregnancy has remained unclear. To assess the fetal status, the fetal heart rate (FHR) was measured during maternal swimming. We studied individually a group of seventeen women in normal pregnancy (during their third trimester, 35-38th week) who participated in a maternal swimming class. We adapted the Doppler ultra-sound transducer for underwater use and attached it to the mothers' abdomen. FHR was recorded before, during and after swimming. The group swam from 375 to 750 meters in 33 to 41 minutes. During swimming, motion artifacts interfered with the FHR signal and we were only able to detect FHR in eleven in the group. The mean FHR rose significantly during swimming in eight of eleven women compared to the FHR recorded before the exercise. The FHR pattern was reactive and baseline variability was preserved in all cases. No pathological deceleration was seen. It is concluded that maternal swimming under such class conditions is safe for the fetus.
孕期游泳时的胎儿生理状况一直不明。为评估胎儿状况,在母亲游泳期间测量了胎儿心率(FHR)。我们对一组17名正常妊娠(孕晚期,第35 - 38周)且参加母亲游泳课程的女性进行了单独研究。我们对多普勒超声换能器进行了水下使用改造,并将其附着在母亲腹部。在游泳前、游泳期间和游泳后记录FHR。该组在33至41分钟内游了375至750米。游泳期间,运动伪影干扰了FHR信号,我们仅能在该组中的11名女性中检测到FHR。与运动前记录的FHR相比,11名女性中有8名在游泳期间平均FHR显著上升。所有病例中FHR模式均有反应,基线变异性得以保留。未观察到病理性减速。结论是,在这种课程条件下母亲游泳对胎儿是安全的。