Computerised analysis of behaviour in normal and growth-retarded fetuses

European Journal of Obstetrics, Gynecology, and Reproductive Biology
S VindlaM Coppens

Abstract

Fetal behaviour [fetal heart rate (FHR) variation and movements (FA)] was studied in 27 normally grown fetuses and in 18 fetuses with intrauterine growth restriction (IUGR). FHR and FA were recorded using a single 1.5 MHz ultrasound transducer and analyzed by computer. The IUGR fetuses had significantly lower FA rates than the normally grown fetuses at all gestation times. They also spent a significantly lower proportion of time exhibiting high FHR variation at 28-31 weeks. Only two of the eighteen IUGR fetuses had abnormal biophysical profile scores (BPS) at the time of recording and yet all but one of them had either FHR or FA patterns that were outside the 10-90th centile range for the normally grown fetuses, suggesting that FHR and FA abnormalities predated BPS changes. More of the IUGR fetuses had abnormalities of FA than FHR. Finally, within the IUGR fetuses, those with small head circumferences (less than 3rd centile) had lower FA rates during periods of both low and high FHR variation, though this was only statistically significant for periods of low FHR variation (P < 0.05). This preliminary study offers the possibility that such objective evaluation of fetal behaviour could be used in a clinical setting and provide a ...Continue Reading

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Citations

Apr 30, 1999·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S VindlaD Sahota
Jan 5, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·L H KeanD K James
Jun 24, 2009·Obstetrical & Gynecological Survey·Zina Rashed Hijazi, Christine Elizabeth East
Nov 5, 1999·British Journal of Obstetrics and Gynaecology·L H KeanD K James
Jul 26, 2008·Seminars in Perinatology·J Frederik FrøenRuth C Fretts
Dec 10, 1999·Obstetrics and Gynecology Clinics of North America·F C Christensen, W F Rayburn
Apr 9, 2008·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A E P Heazell, J F Frøen
Oct 5, 2018·Frontiers in Physiology·Julia HartkopfIsabelle Kiefer-Schmidt

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