Fetal responses to acoustic stimulation depend on heart rate variability pattern, stimulus intensity and repetition

Fetuses (37-40 wks DA) were exposed to three successive presentations of a 5-s high-pass filtered (800 Hz) pink noise either at 105 dB or at 110 dB SPL. Stimulations were given during high or low variability heart rate (HR) patterns (HV or LV) which presumably correspond mostly to active and quiet sleep episodes, respectively. The proportion of fetuses showing cardiac response (CR) was always greater than the proportion showing leg movement (LM) but the presence of an accompanying leg movement always increased the amplitude of CR, independent of HR pattern, stimulus repetition and intensity. Fetal reactiveness always diminished with stimulus repetition but diminished more on the three examined dimensions (CR ratio, LM ratio and CR amplitude) with LV infants than with HV infants, and more with the 105 dB stimulus than with the 110 dB stimulus. More importantly, stimulus parameters and HR patterns interacted. At 110 dB in HV, neither the median amplitude of the CRs nor the probability of a CR changed over trials but the probability of a concommittant LM decreased. At 110 dB in LV, repetition induced a decrement on all three response dimensions from the second trial onwards. At 105 dB in HV, LM decreased rapidly, as much as at 110 dB in LV. Thus, state, as reflected by HR pattern, plays a significant role in determining the occurrence and the amplitude of the CR and the occurrence of a LM which, in turn, will enhance the CR amplitude.