胎児の心拍数反応は,母親の運動に起因する
M W Carpenter1, S P Sady, B Hoegsberg
1Department of Obstetrics and Gynecology, Women and Infants Hospital, Providence, RI 02905.
JAMA
|May 27, 1988
まとめ
妊娠中の母親の運動は,胎児の心拍数に対して一般的に安全です. しかし,最大限の運動は胎児ブラジカルディアを引き起こす可能性があり,胎児の健康状態に関するさらなる調査が必要である.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 胎児生理学 胎児生理学
- 運動科学は運動科学である.
背景:
- 以前のドップラーモニタリングは,母親の運動中に胎児ブラジカルディアが示唆され,安全性に関する懸念を提起しました.
- 激しい運動中の胎児の心拍数評価のドップラー法は,運動の人工物により困難です.
研究 の 目的:
- 母親の周期中の胎児ブラジカルディアの発生率を決定するために,エルゴメーター検査.
- 胎児の心拍数に対する母親の最大運動と亜最大運動の影響を評価する.
主な方法:
- 胎児の心拍数は,45人の妊婦で二次元超音波を用いてモニタリングされました.
- 参加者は,85のサブマキシマムおよび79のマキシマムサイクルエルゴメーターテストを受けました.
- 胎児ブラジカルディアは,心拍数 <110bpm >=10秒で定義されました.
主要な成果:
- 胎児の平均心拍数は,運動中に有意な変化を示さなかった.
- 胎児ブラジカルディアのエピソードは,サブマキシマルの運動中に発生しました.
- 運動後の胎児ブラジカルディアの16回のエピソードが観察され,主に最大限の努力の後でした.
結論:
- 短期的な母体運動 (最大エアロビック力の ~70%まで) は胎児の心拍数に影響を与えないようです.
- 妊産婦の最大限の労力はしばしば胎児のブラディカルディアに続いており,胎児のガスの交換が変化したことを示している可能性があります.
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