Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1979 Sep 8;2(6190):577–579. doi: 10.1136/bmj.2.6190.577

Fetal breathing movements and other tests of fetal wellbeing: a comparative evaluation.

B J Trudinger, Y B Gordon, J G Grudzinskas, M G Hull, P J Lewis, M E Arrans
PMCID: PMC1596521  PMID: 315254

Abstract

Sixty pregnant women whose fetuses were considered to be at high risk were intensively studied with fetal and placental function tests. Fetal breathing movements were studied with real-time ultrasound and the amount of time spent breathing and the variability of the breath-to-breath interval were measured. A reduction in the amount of time the fetus spent making breathing movements and decreased variability were indicative of fetal compromise. When these results were compared with those of other tests of fetal wellbeing measurement of fetal breathing movements and ultrasound assessment of growth were more sensitive tests of fetal wellbeing than the biochemical measures (urinary oestrogen, human placental lactogen, pregnancy-specific beta-1-glycoprotein, and unconjugated oestriol concentrations) or fetal heart rate. The predictive value was highest with serum unconjugated oestriol but the results of other tests were similar. Study of fetal breathing movements or an ultrasonic assessment of growth may provide a better screening test for fetal compromise than biochemical estimations.

Full text

PDF
577

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beischer N. A. Low oestriol excretion: incidence, significance and treatment in an obstetric population. Med J Aust. 1975 Sep 6;2(10):379–381. [PubMed] [Google Scholar]
  2. Boddy K., Dawes G. S. Fetal breathing. Br Med Bull. 1975 Jan;31(1):3–7. doi: 10.1093/oxfordjournals.bmb.a071237. [DOI] [PubMed] [Google Scholar]
  3. Campbell S., Wilkin D. Ultrasonic measurement of fetal abdomen circumference in the estimation of fetal weight. Br J Obstet Gynaecol. 1975 Sep;82(9):689–697. doi: 10.1111/j.1471-0528.1975.tb00708.x. [DOI] [PubMed] [Google Scholar]
  4. Casscells W., Schoenberger A., Graboys T. B. Interpretation by physicians of clinical laboratory results. N Engl J Med. 1978 Nov 2;299(18):999–1001. doi: 10.1056/NEJM197811022991808. [DOI] [PubMed] [Google Scholar]
  5. Chapman R. L., Dawes G. S., Rurak D. W., Wilds P. L. Intermittent breathing before death in fetal lambs. Am J Obstet Gynecol. 1978 Aug 15;131(8):894–898. doi: 10.1016/s0002-9378(16)33138-6. [DOI] [PubMed] [Google Scholar]
  6. Dawes G. S. Fetal breathing. Am Rev Respir Dis. 1977 Jun;115(6 Pt 2):5–10. doi: 10.1164/arrd.1977.115.S.5. [DOI] [PubMed] [Google Scholar]
  7. Flynn A. M., Kelly J. Evaluation of fetal wellbeing by antepartum fetal heart monitoring. Br Med J. 1977 Apr 9;1(6066):936–939. doi: 10.1136/bmj.1.6066.936. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Fox H. E., Steinbrecher M., Pessel D., Inglis J., Medvid L., Angel E. Maternal ethanol ingestion and the occurrence of human fetal breathing movements. Am J Obstet Gynecol. 1978 Oct 15;132(4):354–358. doi: 10.1016/0002-9378(78)90766-4. [DOI] [PubMed] [Google Scholar]
  9. Gordon Y. B., Lewis J. D., Pendlebury D. J. Is measurement of placental function and maternal weight worth while? Lancet. 1978 May 13;1(8072):1001–1003. doi: 10.1016/s0140-6736(78)90733-x. [DOI] [PubMed] [Google Scholar]
  10. Gordon Y. P., Grudzinskas J. G., Jeffrey D., Chard T. Concentrations of pregnancy-specific beta 1-glycoprotein in maternal blood in normal pregnancy and in intrauterine growth retardation. Lancet. 1977 Feb 12;1(8007):331–333. doi: 10.1016/s0140-6736(77)91135-7. [DOI] [PubMed] [Google Scholar]
  11. Hull M. G., Monro P. P., Gillmer M. D. Plasma unconjugated oestriol in late pregnancy: circadian variation and the effect of meals and a glucose load. Br J Obstet Gynaecol. 1978 Sep;85(9):645–651. doi: 10.1111/j.1471-0528.1978.tb14941.x. [DOI] [PubMed] [Google Scholar]
  12. Letchworth A. T., Slattery M., Dennis K. J. Clinical application of human-placental-lactogen values in late pregnancy. Lancet. 1978 May 6;1(8071):955–957. doi: 10.1016/s0140-6736(78)90247-7. [DOI] [PubMed] [Google Scholar]
  13. Lewis P. J., Trudinger B. J., Mangez J. Effect of maternal glucose ingestion on fetal breathing and body movements in late pregnancy. Br J Obstet Gynaecol. 1978 Feb;85(2):86–89. doi: 10.1111/j.1471-0528.1978.tb10458.x. [DOI] [PubMed] [Google Scholar]
  14. Patrick J. E., Dalton K. J., Dawes G. S. Breathing patterns before death in fetal lambs. Am J Obstet Gynecol. 1976 May 1;125(1):73–78. doi: 10.1016/0002-9378(76)90895-4. [DOI] [PubMed] [Google Scholar]
  15. Rochard F., Schifrin B. S., Goupil F., Legrand H., Blottiere J., Sureau C. Nonstressed fetal heart rate monitoring in the antepartum period. Am J Obstet Gynecol. 1976 Nov 15;126(6):699–706. doi: 10.1016/0002-9378(76)90523-8. [DOI] [PubMed] [Google Scholar]
  16. Trudinger B. J., Lewis P. J., Mangez J., O'Connor E. Fetal breathing movements in high risk pregnancy. Br J Obstet Gynaecol. 1978 Sep;85(9):662–667. doi: 10.1111/j.1471-0528.1978.tb14944.x. [DOI] [PubMed] [Google Scholar]
  17. Wladimiroff J. W., Bloemsma C. A., Wallenburg H. C. Ultrasonic assessment of fetal head and body sizes in relation to normal and retarded fetal growth. Am J Obstet Gynecol. 1978 Aug 15;131(8):857–860. doi: 10.1016/s0002-9378(16)33131-3. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES