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作者:

Li, Shu-Fang (Li, Shu-Fang.) | Zhao, Yang-Yu (Zhao, Yang-Yu.) | Li, Guang-Fei (Li, Guang-Fei.) | Wang, Nan (Wang, Nan.) | Zhang, Song (Zhang, Song.) | Chen, Lian (Chen, Lian.) | Wang, Yan (Wang, Yan.)

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摘要:

Background With computerized analysis of fetal heart rate(FHR) data from long-range monitoring, we aimed to comprehensively clarify the characteristics of FHR with increasing gestational age in low-risk pregnant women during the third trimester of pregnancy. Methods This was an observational study. 85 fetuses of low-risk pregnant women were included. The data covered 28 similar to 40 weeks of gestation, and 125 cases of FHR monitoring from 85 fetuses were totally collected. The FHR baseline rate, variability, and acceleration were computationally calculated, analyzed and compared. Results The average effective monitoring time for each case was 13.9 +/- 4.3 h. FHR baseline gradually decreased as the gestational age progressed, and the maximum FHR baseline appeared at 28-29 weeks, which was 137.5 (133.0, 141.3) bpm, whereas the minimum FHR baseline appeared at 38-39 weeks, that was 132.8 (128.1, 138.4) bpm. FHR variability fluctuated in (4-12?bpm. It gradually increased from 28 to 33 weeks of gestation, reached the maximum of 7.6 (6.0-9.4) bpm, and then decreased until full-term pregnancy. The moderate variability proportion of FHR gradually increased from 28 weeks of gestation, peaked at 32-33 weeks as 65.8%, and then gradually decreased to 56.2% at 37 weeks, which was maintained at this level until 39 weeks. The variation tendency of minimal variability proportion was opposite to moderate variability proportion. When it reached 40 weeks, the minimal and moderate variability proportions were 50.0% and 49.0%, respectively. The FHR acceleration area showed no trend change during the third trimester, while fluctuated in (29.5-42.4) lattices/h. Conclusion This study revealed that the characteristics of FHR gradually changed with increasing gestational age, and the most obvious change was observed at 32-33 weeks, demonstrating that the specific gestational weeks may be an important period for the physiological bias of FHR tends to mature.

关键词:

low-risk pregnancy Electronic fetal monitoring acceleration fetal heart rate variability

作者机构:

  • [ 1 ] [Li, Shu-Fang]Peking Univ, Hosp 3, Dept Gynecol & Obstet, 49 Fa Yuan North Rd, Beijing, Peoples R China
  • [ 2 ] [Zhao, Yang-Yu]Peking Univ, Hosp 3, Dept Gynecol & Obstet, 49 Fa Yuan North Rd, Beijing, Peoples R China
  • [ 3 ] [Wang, Nan]Peking Univ, Hosp 3, Dept Gynecol & Obstet, 49 Fa Yuan North Rd, Beijing, Peoples R China
  • [ 4 ] [Chen, Lian]Peking Univ, Hosp 3, Dept Gynecol & Obstet, 49 Fa Yuan North Rd, Beijing, Peoples R China
  • [ 5 ] [Wang, Yan]Peking Univ, Hosp 3, Dept Gynecol & Obstet, 49 Fa Yuan North Rd, Beijing, Peoples R China
  • [ 6 ] [Li, Shu-Fang]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Gynecol & Obstet, Wuhan, Peoples R China
  • [ 7 ] [Li, Guang-Fei]Beijing Inst Technol, Sch Life Sci, Biomed Engn, Beijing, Peoples R China
  • [ 8 ] [Zhang, Song]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing, Peoples R China

通讯作者信息:

  • [Chen, Lian]Peking Univ, Hosp 3, Dept Gynecol & Obstet, 49 Fa Yuan North Rd, Beijing, Peoples R China;;[Wang, Yan]Peking Univ, Hosp 3, Dept Gynecol & Obstet, 49 Fa Yuan North Rd, Beijing, Peoples R China

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来源 :

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE

ISSN: 1476-7058

年份: 2021

1 . 8 0 0

JCR@2022

ESI学科: CLINICAL MEDICINE;

ESI高被引阀值:75

JCR分区:3

被引次数:

WoS核心集被引频次: 3

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