Zusammenfassung
Der Perinalmedizin stehen heute zahlreiche Techniken zur Verfügung, um den Zustand der Feten mit intrauteriner Mangelentwicklung (IUGR = intra-uterine growth retardation) zu erfassen. In diesem Beitrag sollen Veränderungen der fetalen Herzfrequenz, der fetalen Körperbewegungsmuster und der Doppler-Sonographie-kurven der fetalen Blutgefäße miteinander in Beziehung gesetzt werden; außerdem wird eine mögliche Rangfolge dargestellt, in der diese Veränderungen bei progressiver Verschlechterung des Zustands des Feten auftreten. Die Daten über pathologische fetale Herzfrequenzmuster werden im Zusammenhang mit der Sauerstoffversorgung des Feten und dem späteren neurologischen Status betrachtet.
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Literatur
Bekedam DJ, Visser GHA, de Vries JJ, Prechtl HFR (1985) Motor behaviour in the growth retarded fetus. Early Hum Dev 12: 155–165.
Bekedam DJ, Visser GHA (1985) Effects of hypoxemic events on breathing, body movements and heart rate variation. A study in growth retarded human fetuses. Am J Obstet Gynecol 153: 52–56.
Bekedam DJ, Visser GHA, Kamstra A, Mulder EJH (1986) Effects of maternal hyperoxia on fetal breathing movements, body movements and heart rate variation; a study in growth retarded human fetuses. Abstracts of the 13th Meeting of The Society for the Study of Fetal Physiology. Banff, Canada.
Bekedam DJ, Visser GHA, Mulder EJH, Poelmann-Weesjes G (1987) Heart rate variation and movement incidence in growth-retarded fetuses: the significance of antenatal late heart rate decelerations. Am J Obstet Gynecol 157: 126–133.
Dawes GS, Redman CWG, Smith JH (1985) Improvement in the registration and analysis of fetal heart rate records at the bedside. Br J Obstet Gynecol 92: 317–325.
Dijxhoorn MJ, Visser GHA, Touwen BCL, Huisjes HJ (1987) Apgar score, meconium and acidaemia at birth in small-for-gestational age infants born at term, and their relation to neonatal neurological morbidity. Br J Obstet Gynaecol 94: 873–879.
Hernandes CE, Cohen-Overbeek TE, Campbell S, Pearce JMF (1984) A comparison of fetal aorta flow velocity waveforms with cardiotocography and biophysical profiles in the antenatal assessment of fetal wellbeing. Abstraot to the 11th Annual meeting of the Society for the study of Fetal Physiology, Oxford.
Henson GL, Dawes GS, Redman CWG (1983) Antenatal fetal heart rate variability in relation to fetal acid-base status at Caesarean section. BR J Obstet Gynaecol 90: 516–521.
Manning FA, Baskett TF, Morrison I, Lange I (1981) Fetal biophysical profile scoring: a prospective study in 1184 highrisk patients. Am J Obstet Gynecol 140: 289–294.
Murata Y, Martin CB, Ikenone T et al. (1982) Fetal heart rate accelerations and late decelerations during the course of intrauterine death in chronically catheterized rhesus monkeys. Am J Obstet Gynecol 144:218–223.
Pearson JF, Weaver JB (1976): Fetal activity and fetal wellbeing: an evaluation. Br Med J I: 1305–1307.
Reuwer PJHM, Sijmons EA, Rietman GW et al. (1987) Intrauterine growth retardation: prediction of perinatal distress by Doppler ultrasound. Lancet II: 415–418.
Robinson JS, Falconer J, Owens JA (1985) Influence of growth retardation on functional capacity of fetal organ systems. In: Beard RW, Sharp F (eds) Preterm labour and its consequences pp 39–52. London: The Royal College of obstetricians and Gynecologists. ISBN 0902331337.
Sadovsky E, Yaffe H, Polishuk WZ (1974) Fetal movement monitoring in normal and pathologic pregnancy. Int J Gynaecol Obstet 12: 75–79.
Sadovsky E, Laufer N, Allen JW (1979) The incidence of different types of fetal movements during pregnancy. Br J Obstet Gynaecol 86: 10–14.
Snijders RJM, Ribbert LSM, Franssens M, Visser GHA (1988): Heart rate variability in small-for-dates fetuses with abnormal umbilical artery velocity wave forms. In: Mahsal K (ed) Abstracts 3rd int. conf. on Fetal and Neonatal Physiological Measurements. Ronneby, Sweden, p87.
Soothill PW, Nicolaides KH, Campbell S (1987) Prenatal asphyxia, hyperlacticaemia, hypoglycaemia and erythroblastosis in growth retarded fetuses. Brit Med 294: 1051–1053.
Visser GHA, Redman CWG, Huisjes HJ, Turnbull AC (1980) Nonstressed antepartum heart rate monitoring: implications of decelerations after spontaneous contractions. Am J Obstet Gynecol 138:429–435.
Visser GHA (1984) Antenatal cardiotocography in the evaluation of fetal well-being. Austr NZ J Obstet Gynecol 24: 80–85.
Visser GHA, Poelmann-Weesjes G, Bekedam DJ (1986) Umbilical artery velocity wave forms in growth retarded fetuses; a comparison with heart rate and movement patterns. Abstracts of the 24th Brit. Congress of Obstet Gynaecol, Cardiff 1986, p 133.
Visser G A (1988) Abnormal antepartum fetal heart rate patterns and subsequent handicap. In: Antenatal and perinatal causes of handicap. Balliere’s Clin Obstet Gynaecol 2/1:117–124.
Van Vliet MAT, Martin CB, Nijhuis JG, Prechtl HFR (1985) Behavioural states in the growth retarded human fetus. Early Hum Dev 12: 183–198.
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© 1989 Springer-Verlag Berlin Heidelberg
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Visser, G.H.A. (1989). Fetale Herzfrequenz und Bewegungsmuster in Abhängigkeit von der Sauerstoffversorgung und vom neurologischen Status des Neugeborenen. In: Bolte, A., Wolff, F. (eds) Hochrisikoschwangerschaft. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-72428-2_11
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DOI: https://doi.org/10.1007/978-3-642-72428-2_11
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