母亲对胎儿运动减少的感知是独立于婴儿大小的
R Stoke1,2, K Crawford1,2, L Jardine1
1Mater Research Institute, University of Queensland, South Brisbane, Queensland, Australia.
概括
在澳大利亚的一项大型研究中,母亲对胎儿运动减少 (DFM) 的感知与婴儿大小无关. 这一发现表明,临床医生在评估胎儿健康时,应该考虑除了DFM之外的其他因素.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 胎儿运动是胎儿健康的一个关键指标.
- 之前的研究表明,胎儿运动 (DFM) 减弱和妊娠年龄小 (SGA) 婴儿之间的相关性.
- 母亲对DFM感知的临床意义需要进一步研究.
研究的目的:
- 调查母亲表现与DFM和婴儿出生体重百分点类别之间的关联.
- 为了评估DFM的比率与出生体重百分比在一个大的澳大利亚围产阶段队列.
主要方法:
- 从2016年1月到2020年10月,对非异常单子婴儿 (怀孕≥28周) 的回顾性研究.
- 收集关于母亲人口统计,病情和DFM表现的数据.
- 用于评估DFM与出生体重百分点之间的关联的调整多项回归模型.
主要成果:
- 包括超过4.5万名女性;14.9%的女性呈现了DFM.
- 总体死产率在患有DFM和没有DFM的妇女之间是相似的 (0.1%).
- 在DFM (单个或多个表现) 和婴儿出生体重百分点之间没有发现显著的关联.
结论:
- 孕产妇患有DFM的呈现没有被证明与婴儿大小有关.
- 临床医生应将DFM评估与其他临床风险因素相结合,以全面评估胎儿健康.
- 单独的DFM可能不需要立即进行超声波,以评估胎儿的大小.
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