Значение исследований поведения плода для прогноза психоневрологического развития: обзор
- Страницы / Pages
- 39-50
Аннотация
В течение последних 30 лет ультразвуковые исследования во время беременности позволили выявить удивительное разнообразие внутриутробных движений плода. Было показано, что фетальная активность появляется в конце эмбрионального периода, на 7—9-й неделе гестации. Анализ динамики поведения плода привел к предположению, что поведенческие паттерны непосредственно отражают процессы развития и созревания центральной нервной системы. С помощью 2D-4D УЗИ стало возможным разработать измеряемые параметры для оценки нормального нейробихевиорального развития плода. Многоцентровыми исследованиями были описаны нормальные и анормальные общие движения плодов, произведена стандартизация нормативных данных и валидизация специфических аспектов нейроповедения плода, позволяющая клиницистам лучше прогнозировать неврологический исход беременности высокого риска.
Abstract
Over the past 30 years, ultrasound examination during pregnancy revealed a surprising variety of fetus movements. It has been proven that the fetal activity begins at the end of the embryo period, week 7—9 of gestation. The analysis of the movemental patterns of the fetus has led to the hypothesis that these patterns directly reflect the development and maturation of the central nervous system. The 2D-4D ultrasound makes it possible to identify measurable parameters for assessing the neurological and behavioural development ofthe fetus. Multicentre studies were performed to identify normal and abnormal movements of the fetus. Having analysed the obtained data, the authorspropose a set of criteria for assessing the fetus neurological behaviour, allowing clinicians to better predict neurological outcome of a high-risk pregnancy.
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