Koleska T, Srp B, Drbohlav P, Bartosová J
I. gynek.-porod. klinika 1. LF UK a VFN, Praha.
Ceska Gynekol. 1997 Jun;62(3):122-7.
The authors examined by actocardiography a group of 98 women in the third trimester of pregnancy. They evaluated the duration, frequency of different movements and the frequency of FHR accelerations in three groups of pregnant women (normal controls, pregnant women with retarded foetal growth and normal PI and finally women with retarded foetal growth and raised PI values). Progression of intrauterine stress led in the investigated group to a gradual decline of motor activity of the foetus along with a decline of the frequency and ratio of FHR accelerations in the total movements and isolated movements of the head and extremities. Statistical significance was proved in four basic parameters. The authors confirmed the priority of the flowmetric diagnosis as compared with actocardiographic recording of developing foetal stress. In the submitted preliminary communication the authors present data on actocardiographic findings during normal delivery. They revealed in particular a marked coincidence of general foetal movements and uterine contractions.
作者通过心动图检查了98名妊娠晚期妇女。他们评估了三组孕妇（正常对照组、胎儿生长受限但搏动指数正常的孕妇以及胎儿生长受限且搏动指数升高的孕妇）不同胎动的持续时间、频率以及胎心率加速的频率。在研究组中，宫内压力的进展导致胎儿运动活动逐渐减少，同时胎心率加速在总胎动以及头部和四肢单独胎动中的频率和比例也下降。四个基本参数具有统计学意义。作者证实了与记录胎儿应激的心动图相比，血流动力学诊断具有优先性。在提交的初步交流中，作者展示了正常分娩期间心动图检查结果的数据。他们特别发现胎儿总体运动与子宫收缩之间存在明显的一致性。
