Development of fetal movement — fetal heart rate coupling from 20 weeks through term

Janet A DiPietro; Denice M Hodgson; Kathleen A Costigan; Sterling C Hilton; Timothy R.B Johnson

doi:10.1016/0378-3782(95)01704-6

Back

Development of fetal movement — fetal heart rate coupling from 20 weeks through term

Journal article

Open access

Peer reviewed

Development of fetal movement — fetal heart rate coupling from 20 weeks through term

Janet A DiPietro, Denice M Hodgson, Kathleen A Costigan, Sterling C Hilton and Timothy R.B Johnson

Early human development, Vol.44(2), pp.139-151

1996

DOI: 10.1016/0378-3782(95)01704-6

PMID: 8745426

Files and links (1)

url

https://doi.org/10.1016/0378-3782(95)01704-6View

Published (Version of record) Open Access

Abstract

This study documents the development of fetal heart rate (FHR) change in response to fetal movement (FM) in healthy fetuses from 20 weeks' gestational age through term. Thirty-one fetuses received 50 min of Doppler-based monitoring at 20, 24, 28, 32, 36 and 38–39 weeks. FHR and FM were continuously digitized. A coupling index was computed as the percentage of FMs associated with increases in FHR of 5 beats/min or more within −5 or +15 s of movement onset. The latency between FM onset and FHR change was also computed, as were the amplitude and duration of all movements. FM and FHR became more integrated with advancing gestation. Coupling increased and the latency between FM and FHR changes decreased. Maternal age, blood pressure and fetal sex did not affect FM-FHR coupling, but fetuses of women who reported greater stress in their daily lives and had faster heart rates displayed reduced coupling. These data suggest that the development of FM-FHR coupling reflects the development of the central nervous system during gestation, and that development may be affected by maternal factors.

Fetal heart rate

Stress

Fetal movement

Neurologic development

Details

Title: Subtitle: Development of fetal movement — fetal heart rate coupling from 20 weeks through term
Creators: Janet A DiPietro - Department of Maternal and Child Health and Division of Maternal Fetal Medicine, The Johns Hopkins University, 624 N. Broadway, Baltimore, MD 21205, USA
Denice M Hodgson - Department of Biomedical Engineering, The Johns Hopkins University, Baltimore, MD 21205, USA
Kathleen A Costigan - Division of Maternal Fetal Medicine, The Johns Hopkins University, Baltimore, MD 21205, USA
Sterling C Hilton - Department of Biostatistics, The Johns Hopkins University, Baltimore, MD 21205, USA
Timothy R.B Johnson - Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA
Resource Type: Journal article
Publication Details: Early human development, Vol.44(2), pp.139-151
DOI: 10.1016/0378-3782(95)01704-6
PMID: 8745426
NLM abbreviation: Early Hum Dev
ISSN: 0378-3782
eISSN: 1872-6232
Publisher: Elsevier Ireland Ltd
Language: English
Date published: 1996
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Cardiovascular Medicine; Internal Medicine
Record Identifier: 9984094733402771

Metrics

21 Record Views

103 Times Cited - Web of Science