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      胎心率多少正常

      【导读】胎心率也就是胎儿的心率。胎儿心率受交感神经和副交感神经调节,通过信号描记瞬间的胎心变化所形成的监护图形的曲线,可以了解胎动时、宫缩时胎心的反应,以推测宫内胎儿有无缺氧。正常妊娠从怀孕第37周开始每周做一次胎心监护,如有合并症或并发症,可以从怀孕第28~30周开始做。胎心率慢可能由于胎儿缺氧引起,但有时孕妇服用某些药物,如心得安,药物通过胎盘作用于胎儿,引起胎儿心率减慢。

      相信孕妇都知道,当怀孕12周时就能听到胎心,但这时候的胎心音很轻,用多普勒胎心仪或胎语仪才能听到。用胎心听筒在18周的时候才可以听到胎心。

      一般妊娠15周前,不用超声多普勒胎心仪进行自我监护。对于孕15~28周的孕妇,每天测3次,每次1分钟是安全的。对于孕28周以后的孕妇,胎儿分化完全,可以加长监护的时间和次数。对于孕35周以后的高危孕妇(例如:合并妊高征、甲亢等的孕妇),应住院用胎心监护仪持续监护胎心,如有必要,可长时间(超过l小时)持续监护。

      胎儿胎心率是预测胎儿安危的手段,因此每个孕妇都有必要作好胎儿胎心率记录。此时孕妇一定要知道胎儿胎心率正常值范围:

      1、正常胎心率为120~160次/分钟

      2、在怀孕20周前胎心率平均为162次/分钟

      3、在怀孕怀孕21~30周平均为147次/分

      4、在怀孕31~40孕周平均为139次/分钟

      通常在胎儿背上方的孕妇腹壁听到的胎心音最响亮,由于胎头位置不同,最响心音部位也不一样。孕妇自己学会计数每分钟胎心率是有好处的,若胎心率小于120次/分钟或大于160次/分钟,即表示胎心率异常,需进一步复查监护。

      在胎心临护时,发现有胎心图形有异常,也常常用来表示胎心异常。胎心异常多数情况下是代表胎儿在宫内有缺氧,胎心异常的程度越严重,常意味胎儿缺氧也越重,但并非所有的胎心异常都是缺氧引起。那么胎心率的异常是怎样的呢?下面一起来看一下。

      其实,孕妇本身的情况也会影响到胎心的变化,如孕妇发烧,胎心常?;岢?60次/分,孕妇有甲状腺功能亢进,她本身的心率很快,胎儿的心率也常常超过160次/分,如果孕妇服用某些药物,如早产保胎时服用的舒喘宁,或用阿托平,都可引起母儿心率加快。

      胎心率慢可能由于胎儿缺氧引起,但有时孕妇服用某些药物,如心得安,药物通过胎盘作用于胎儿,引起胎儿心率减慢。在有胎心率持续慢时,要注意检查了解胎儿有无先天性心脏病的可能,此外,妊娠超过40周后,由于胎儿的神经系统的发育问题,胎心有时也可低于120次/分,因此在有胎心异常时,需仔细地分析情况,作出正确的判断及处理,如确实有胎儿缺氧存在,应及早分娩。

      如每分钟胎心跳动超过160次,或少于120次,或心跳不规则,时快时慢,跳跳停停等,均属不正常。孕28周的孕妇,每次听胎心的时间应超过1分钟,如在10分钟内发现胎心率总是低于120次/分或高于160次/分,或是在胎心加快后出现胎心变慢,反应性差,胎动减少,请立即就医,进行检查。

      由此可见,孕妇在家中认真数胎动,仔细监测胎心,有助于及时发现问题,及时采取措施来挽救宝宝的生命。

      众所周知,胎心不靠仪器是很难听到的,所以要采用听诊器或是多普勒胎心听诊仪。一般肚子有规律的跳动是子宫血管的杂音和腹部主动脉音!这些都和脉搏数一致,一般是每分钟60—100次,为咚咚样强音响。那么怎样用仪器来测胎心率呢?下面为你带来测胎心率的方法。

      听胎心音时,孕妇取仰卧位,头部稍垫高露出腹部,双腿伸直。检查者站在孕妇的右侧,把听诊器放在孕妇脐下正中稍偏左或右仔细的来回慢慢移动,可听到如钟表“滴答”声音,速度较快,每分钟120—160次为胎儿心音。你可以在18—20周以后每天听取2到3次,直到分娩。

      另外,也可以注意观察医生听胎心的位置,回家后自己重复听一次,以确定胎心位置。由于胎儿在腹中可以随时移动,胎心的位置也可能变化。其具体的位置如下:

      1、胎儿小于5个月时,听胎心位置通常在脐下,腹中线的两侧。

      2、胎儿6~8个月时,随着胎儿的长大,胎心的位置也会上移。由于胎动通常是胎儿手脚在动,所以右侧感到胎动频繁时,胎心一般在左侧;左侧感到胎动频繁时,胎心一般在右侧。头位和臀位也可以影响胎心的位置。头位时胎心在脐下,臀位时胎心在脐上。

      3、妊娠晚期,胎位基本固定。观察医生听胎心的位置即可。由于臀位容易引起胎膜早破等并发症,所以应加强监护。通常情况下,如果是臀位,医生会告知你,并让你注意监护。如果发现在原先的位置忽然昕不到胎心,但可以感到胎动时,说明胎儿体位发生了变化。如果胎动也不明显,应立即就医,进行检查。

      胎心是胎儿在子宫内心脏跳动的声音,音色清脆,节律整齐,通过听胎心可了解胎儿健康情况。一般在怀孕7周左右,就可以用B超设备看到胎儿心跳;怀孕12周左右,胎心仪可检测到胎儿心跳。在孩子出生前,胎心音是联系宝宝和外界的唯一桥梁,是胎儿健康的重要指征。下面小编为你带来使用胎心仪测胎心音的注意事项:

      1、孕妇在家进行家庭监护要平躺,可以参照孕妇在医院检查时的方法,将胎心仪探头放在医生检查时听到胎心的位置附近寻找胎心。

      2、孕妇在家以坐姿、半卧位进行家庭监护,参照孕妇在医院检查,将胎心仪探头放在医生检查时听到胎心的稍下位置附近寻找胎心。

      3、胎心音如钟表的“滴答”声,速度较快。正常胎心跳动为每分钟120-160次,听上去应当是规则的、无间隙的。如正好在胎动时,胎心会略增快。如每分钟胎心跳动超过160次,或少于120次,或心跳不规则,时快时慢,跳跳停停,中间有间隙等均属不正常。

      4、不要把母体腹部动脉血管搏动声音当做胎心音,如不好区别时,可在听胎心音的同时用手摸母体的脉搏,听到的声音与脉搏一致则为母体血管搏动音。

      5、使用时请检查开关是否打开、音量是否合适、插头是否插好、耦合剂或水或者油是否涂抹在探头上、电池是否需要更换等,以免使用时出现障碍。

      提醒孕妇妈妈,要保持良好的心态和轻松的心情,避免大喜大悲、情绪波动。饮食合理、清淡,少喝浓茶咖啡、少吃辣椒咖喱等刺激食物。保持良好睡眠。使用胎心仪,监护宝宝胎心健康成长。

      孕妇在听到胎心的时候,难免会很激动,然后就很想知道肚子里面的宝宝究竟是男宝宝还是女宝宝。现在网上很多人说,从胎心率可以看胎儿性别,一般胎心率快的是女孩,胎心率慢的是男孩。那么网上的这些说法真的正确吗?今天小编就为你来揭秘。

      妇科专家指出,其实胎心率看生男生女是没有科学根据的。因为胎心监护检查的内容是通过信号描记瞬间的胎心变化所形成的监护图形的曲线,可以了解胎动时、宫缩时胎心的反应,以推测宫内胎儿有无缺氧。胎儿正常的心率是在120次/分~160次/分之间,若胎心率持续10分钟以上都小于120/分或大于160分,表明胎心率是异常的。

      从胎心率看男女并不科学。胎心率是指胎儿心率受交感神经和副交感神经调节,通过信号描记瞬间的胎心变化所形成的监护图形的曲线,可以了解胎动时、宫缩时胎心的反应,以推测宫内胎儿有无缺氧。正常胎心音120-160次/分,如果胎心率为160次/分以上或持续100次/分都表示胎儿宫内缺氧,应及时治疗。而对于“胎心率高的是女孩”的说法也只是概率问题,从胎心率的快慢并不能确定胎儿性别。

      小编总结:从胎心率的高低看男女并不一定准确,准确的也只是小概率事件,因此妈妈们不要过分纠结宝宝的心跳是高还是低,只要宝宝健康就好。

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