FETAL MOVEMENT COUNTS - 07/09/11
Résumé |
The concept of monitoring fetal whole body movements has existed for more than a century. Early knowledge of fetal neurologic function was based on maternal perception of aborted fetuses and systematic studies of newborn infants.17, 18, 27 Information concerning how the fetus moves and on quantitative and qualitative movement patterns during gestation has become available in the last few decades. Real-time ultrasound has allowed a quality assessment of the comprehensive motor repertoire in healthy and undisturbed fetuses in their natural environment. This information has enabled characterization of fetal movements in growth-restricted fetuses and those with congenital malformations.
This article addresses the monitoring of fetal kicks, focusing on methods to record and classify different activities. The relationship between fetal movement and simultaneous fetal heart rate (FHR) accelerations and external stimuli is described, especially in relation to a cascade of fetal testing. Limitations to fetal kick counts and future perspectives are discussed.
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| Address reprint requests to Franklyn C. Christensen, MD, Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, The University of New Mexico, School of Medicine, 2211 Lomas Boulevard NE, Albuquerque, NM 87131–5286 |
Vol 26 - N° 4
P. 607-621 - décembre 1999 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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