Evoked fetal startle response: A possible intrauterine neurological examination

Michael Y. Divon, Lawrence D. Platt, Cathy J. Cantrell, Carl V. Smith, Sze Ya Yeh, Richard H. Paul

Research output: Contribution to journalArticlepeer-review

67 Scopus citations

Abstract

The fetal startle reflex was studied in an attempt to provide an objective and quantitative estimate of the fetal neurological condition. This reflex is a normal response to a combined sound-vibratory stimulus in the healthy infant born after 30 weeks of gestation. It consists of a generalized paroxysmal motion that involves the whole body. Thirty women with uncomplicated pregnancies, who subsequently delivered healthy infants, were studied at term. Fetal movements were monitored by means of a real-time scanner. Placement of the transducer was such that it allowed for visualization of the long axis of the fetal forearm. A 3-second stimulus was delivered on the maternal abdomen over the fetal head with use of an artificial larynx. This device generates a mixed sound-vibratory output of 100 dB and 85 Hz. Sufficient visualization of the plane of forearm motion was possible 68% of the time, thus allowing for measurement of the duration of this motion. The results indicate that the mean duration of forearm motion in response to a 3-second sound-vibratory stimulus is 8.2 ± 2.3 seconds (±SEM). Since an immediate forearm motion was detected each time that a stimulus was applied, we conclude that the startle reflex does indeed exist in the fetus. This simple means of assessing the neurological state of the fetus may provide a way to evaluate fetal tone as it applies to antenatal fetal assessment.

Original languageEnglish (US)
Pages (from-to)454-456
Number of pages3
JournalAmerican Journal of Obstetrics and Gynecology
Volume153
Issue number4
DOIs
StatePublished - Oct 15 1985
Externally publishedYes

Keywords

  • Startle reflex
  • fetus
  • neurological condition
  • sound-vibratory stimulus

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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