Anxiety is one of the psychological problems in pregnant women that sometimes takes the form of pathological and affects the mental health of mother. The aim of this study was to determine the effects of fetal movemen...Anxiety is one of the psychological problems in pregnant women that sometimes takes the form of pathological and affects the mental health of mother. The aim of this study was to determine the effects of fetal movement counting on mental health of mother. In a randomized-controlled trial, 208 nulliparous women were randomly divided into two groups. At 28th weeks, both groups completed the GHQ-28. Then the intervention group started to count fetal movements from 28th to 37th weeks of gestation and the control group received routine prenatal care. Again, both groups completed the questionnaire at 37 weeks＇ gestation and the results were compared. Analysis was performed by SPSS and a P value 〈 0.05 was considered significant. The mean scores of mental health of mothers in 28th and 37th of pregnancy was respectively 23.52 ± 10.23 and 21.09 ± 10.12 in the intervention group and the difference was significant （P = 0.025）. The mean in the control group was 23.69 ± 9.43 and 23.88± 8.60 respectively, and the difference was not significant （P = 0.52）. In comparing the mean scores between the two groups, it was found that the difference was not significant at 28th weeks of gestation （P = 0.37）, but it was significant in 37th week （P = 0.002） and the counting of fetal movements could improve the mental health of mothers compared to control group. The women who had fetal movements counting at weeks 28 to 37 Of gestation reported better mental health than the control group. The mother renorted concerns about decreased fetal movement was similar in the two grouns.展开更多
Objective: This study aimed to determine the effect of fetal movements on the MCA pulsatility index (PI) and quantify the fall of MCA PI after initiation of fetal movements and/or breathing, and the time taken to reco...Objective: This study aimed to determine the effect of fetal movements on the MCA pulsatility index (PI) and quantify the fall of MCA PI after initiation of fetal movements and/or breathing, and the time taken to recover from a fall below the 5th percentile. Methods: 16 women with appropriate for gestational age (AGA) fetuses and 16 women with small for gestational age (SGA) fetuses were recruited. MCA PI during “no movement” state was compared with MCA PI values during fetal body movements and breathing movements. Results: MCA PI measurements with body or breathing movements were significantly (p 0.005) lower as compared to that observed without movements. MCA PI started rising immediately after cessation of body movements and/or breathing movements. Conclusions: MCA PI with fetal body or breathing movements is significantly lower as compared to that observed in the quiet state. If MCA PI measurement is below 5th centile, it should be measured again up to 90 seconds after cessation of fetal body and/or breathing movements in order to minimize false positive diagnosis of cerebral sparing effect in SGA as well as AGA fetuses.展开更多
Effective fetal monitoring is an important guarantee for fetal health and early treatment. Fetal movement is one of critical indicators of fetal monitoring, which plays an important role in fetal health. Counting the ...Effective fetal monitoring is an important guarantee for fetal health and early treatment. Fetal movement is one of critical indicators of fetal monitoring, which plays an important role in fetal health. Counting the number of fetal movement by pregnant women is a traditional method for long-term monitoring. However, there are many defects in pregnant women’s feeling count, which cannot meet the accurate requirements of modern perinatal medicine. With the rapid development of biological and electronic technology, various sensors are used to probe the fetal dynamic monitoring, but not on fetal movement. This research proposes a monitoring method for fetal movement via three electrodes. Briefly: first, three electrodes are used to extract electrical signals in the abdomen of pregnant women;second, these signals are amplified and filtered;third, A/D converter with microprocessor is used to make analog digital conversion, which can be stored in the SD card under the control of the microprocessor;finally, the SD card data are processed by computer software and the fetal movement information is analyzed.展开更多
目的对妊娠晚期孕妇自数胎动方法进行系统综述。方法计算机检索Cochrane系统评价数据库、循证卫生保健中心(Joanna Briggs Institute,JBI)系统评价数据库、最佳实践指南(Best Practice)、安大略省注册护士协会(Registered Nurses’Assoc...目的对妊娠晚期孕妇自数胎动方法进行系统综述。方法计算机检索Cochrane系统评价数据库、循证卫生保健中心(Joanna Briggs Institute,JBI)系统评价数据库、最佳实践指南(Best Practice)、安大略省注册护士协会(Registered Nurses’Association of Ontario,RNAO)、荷兰医学文摘数据库、护理学及医疗相关文献累计索引(cumulative index to nursing and allied health literature,CINAHL)、Pub Med、万方数据知识服务平台、中国生物医学文献数据库等9个数据库,收集妊娠晚期孕妇自数胎动方法的相关研究,根据纳入和排除标准筛选文献、提取资料及质量评价,并对文献进行定性分析。结果共纳入21篇文献,目前常用数胎动方法有时间固定法和胎动数固定法两类,对其具体方法、警戒值及处置方法进行总结比较后,发现两类方法的时间效率相当,而时间固定法敏感性较好,但假阳性率高。结论目前对于妊娠晚期孕妇自数胎动方法方面的研究已发表的高质量论文较少,提示应更新并发展我国临床实践中的自数胎动方法,协助孕妇选择适合自身的更准确、便捷的自数胎动方法,以提高孕妇自数胎动行为的依从性。展开更多
文摘Anxiety is one of the psychological problems in pregnant women that sometimes takes the form of pathological and affects the mental health of mother. The aim of this study was to determine the effects of fetal movement counting on mental health of mother. In a randomized-controlled trial, 208 nulliparous women were randomly divided into two groups. At 28th weeks, both groups completed the GHQ-28. Then the intervention group started to count fetal movements from 28th to 37th weeks of gestation and the control group received routine prenatal care. Again, both groups completed the questionnaire at 37 weeks＇ gestation and the results were compared. Analysis was performed by SPSS and a P value 〈 0.05 was considered significant. The mean scores of mental health of mothers in 28th and 37th of pregnancy was respectively 23.52 ± 10.23 and 21.09 ± 10.12 in the intervention group and the difference was significant （P = 0.025）. The mean in the control group was 23.69 ± 9.43 and 23.88± 8.60 respectively, and the difference was not significant （P = 0.52）. In comparing the mean scores between the two groups, it was found that the difference was not significant at 28th weeks of gestation （P = 0.37）, but it was significant in 37th week （P = 0.002） and the counting of fetal movements could improve the mental health of mothers compared to control group. The women who had fetal movements counting at weeks 28 to 37 Of gestation reported better mental health than the control group. The mother renorted concerns about decreased fetal movement was similar in the two grouns.
文摘Objective: This study aimed to determine the effect of fetal movements on the MCA pulsatility index (PI) and quantify the fall of MCA PI after initiation of fetal movements and/or breathing, and the time taken to recover from a fall below the 5th percentile. Methods: 16 women with appropriate for gestational age (AGA) fetuses and 16 women with small for gestational age (SGA) fetuses were recruited. MCA PI during “no movement” state was compared with MCA PI values during fetal body movements and breathing movements. Results: MCA PI measurements with body or breathing movements were significantly (p 0.005) lower as compared to that observed without movements. MCA PI started rising immediately after cessation of body movements and/or breathing movements. Conclusions: MCA PI with fetal body or breathing movements is significantly lower as compared to that observed in the quiet state. If MCA PI measurement is below 5th centile, it should be measured again up to 90 seconds after cessation of fetal body and/or breathing movements in order to minimize false positive diagnosis of cerebral sparing effect in SGA as well as AGA fetuses.
文摘Effective fetal monitoring is an important guarantee for fetal health and early treatment. Fetal movement is one of critical indicators of fetal monitoring, which plays an important role in fetal health. Counting the number of fetal movement by pregnant women is a traditional method for long-term monitoring. However, there are many defects in pregnant women’s feeling count, which cannot meet the accurate requirements of modern perinatal medicine. With the rapid development of biological and electronic technology, various sensors are used to probe the fetal dynamic monitoring, but not on fetal movement. This research proposes a monitoring method for fetal movement via three electrodes. Briefly: first, three electrodes are used to extract electrical signals in the abdomen of pregnant women;second, these signals are amplified and filtered;third, A/D converter with microprocessor is used to make analog digital conversion, which can be stored in the SD card under the control of the microprocessor;finally, the SD card data are processed by computer software and the fetal movement information is analyzed.
文摘目的对妊娠晚期孕妇自数胎动方法进行系统综述。方法计算机检索Cochrane系统评价数据库、循证卫生保健中心(Joanna Briggs Institute,JBI)系统评价数据库、最佳实践指南(Best Practice)、安大略省注册护士协会(Registered Nurses’Association of Ontario,RNAO)、荷兰医学文摘数据库、护理学及医疗相关文献累计索引(cumulative index to nursing and allied health literature,CINAHL)、Pub Med、万方数据知识服务平台、中国生物医学文献数据库等9个数据库,收集妊娠晚期孕妇自数胎动方法的相关研究,根据纳入和排除标准筛选文献、提取资料及质量评价,并对文献进行定性分析。结果共纳入21篇文献,目前常用数胎动方法有时间固定法和胎动数固定法两类,对其具体方法、警戒值及处置方法进行总结比较后,发现两类方法的时间效率相当,而时间固定法敏感性较好,但假阳性率高。结论目前对于妊娠晚期孕妇自数胎动方法方面的研究已发表的高质量论文较少,提示应更新并发展我国临床实践中的自数胎动方法,协助孕妇选择适合自身的更准确、便捷的自数胎动方法,以提高孕妇自数胎动行为的依从性。
