Hasenburg A, Soldan C, Behrens C, Fallenstein F, Spätling L, Quakernack K
Universitäts-Frauenklinik, Ruhr Universität Bochum, Marienhospital Herne.
Z Geburtshilfe Neonatol. 1998 May-Jun;202(3):93-6.
The four-channel-tocography was developed to register the spatial and temporal pattern of uterine contractions and to evaluate their clinical relevance. In this study it should be assessed whether the four-channel-tocography can also register fetal movements.
The study included 38 women with a gestational age between 28 and 43 weeks and singleton pregnancy. Four pressure transducers were attached in a square around the umbilicus. Parallel to the continuous registration of four-channel-tocography fetal movements were observed by conventional ultrasound.
In a total of 23 hours and 11 minutes 403 fetal movements were registered by ultrasound and 405 by four-channel-tocography. 17% of the ultrasonically observed fetal movements were documented by the four-channel-tocography and 70% of the tocographically registered movements could be verified by ultrasound.
Fetal movements can be registered by four-channel-tocography with good sensitivity and reliability. Essential for its clinical use is an automatic analysis, which is being developed.
四通道宫缩图仪旨在记录子宫收缩的时空模式并评估其临床相关性。在本研究中,将评估四通道宫缩图仪是否也能记录胎儿活动。
该研究纳入了38名孕周在28至43周之间的单胎妊娠女性。四个压力传感器围绕肚脐呈正方形附着。在连续记录四通道宫缩图的同时,通过传统超声观察胎儿活动。
在总共23小时11分钟的时间里,超声记录到403次胎儿活动,四通道宫缩图仪记录到405次。四通道宫缩图仪记录到了超声观察到的17%的胎儿活动,而宫缩图仪记录的活动中有70%可以通过超声得到证实。
四通道宫缩图仪能够以良好的敏感性和可靠性记录胎儿活动。其临床应用的关键在于正在开发的自动分析功能。