The development of ultradian rhythms in the human fetus
Abstract
Objective Our objective was to determine the normal sequence of neurobehavioral development in the human fetus between 14 weeks' gestation and delivery.Study design The study was performed by longitudinal ultrasonographic observation of 45 low-risk singleton fetuses.Results During the first half of the midtrimester there was a high rate of spontaneous movement that appeared randomly distributed. By the end of that trimester an increase in the duration of intervals of quiescence resulted in activity appearing cyclically distributed, with the duration of quiet cycles progressively increasing to term. Fetal mouthing and breathing were linked with cyclic behavior from the time of their emergence. Fetal heart rate pattern A could be recognized from around 32 weeks, due to a reduction in baseline variability in quiet cycles after 30 weeks, whereas pattern B could be recognized several weeks earlier. From the time cyclic behavior and heart rate patterns could be recognized, intervals of coincidence of the fetal behavioral state variables increased progressively with advancing gestation.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Fetal ultradian rhythms exist.
“Fetal URs are understudied but do exist77”
From Maternal and Early-Life Circadian Disruption Have Long-Lasting Negative Consequences on Offspring Development and Adult Behavior in Mice (2017) · cites this paper as [77]
Cites
The emergence of fetal behaviour. I. Qualitative aspects
de Vries, J. I. P., Visser, G. H. A., & Prechtl, H. F. R. (1982) · Early Human Development · doi:10.1016/0378-3782(82)90033-0 · Cited by 896 · see citing works
Are there behavioural states in the human fetus?
Nijhuis, J. G., Prechtl, H. F. R., Martin, C. B., & Bots, R. S. G. M. (1982) · Early Human Development · doi:10.1016/0378-3782(82)90106-2 · Cited by 808 · see citing works
Patrick, J., Campbell, M. K., Carmichael, L., Natale, R., & Richardson, B. S. (1982) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(16)32375-4 · Cited by 449 · see citing works
Emergence of behavioural states in fetuses of type-1-diabetic women
Mulder, E. J. H., Visser, G. H. A., Bekedam, D. J., & Prechtl, H. F. R. (1987) · Early Human Development · doi:10.1016/0378-3782(87)90082-x · Cited by 379 · see citing works
The Development of Fetal Heart Rate Patterns During Normal Pregnancy
PILLAI, M., & James, D. K. (1990) · Obstetrics and Gynecology · doi:10.1097/00006250-199011000-00017 · Cited by 164 · see citing works
Self-citationAbnormal motor behaviour in anencephalic fetuses
Visser, G. H. A., Laurini, R., de Vries, J. I. P., et al. (1985) · Early Human Development · doi:10.1016/0378-3782(85)90180-x · Cited by 151 · see citing works
Diurnal and other variations in fetal movement and heart rate patterns at 20–22 weeks
de Vries, J. I. P., Visser, G. H. A., Mulder, E. J. H., & Prechtl, H. F. R. (1987) · Early Human Development · doi:10.1016/0378-3782(87)90029-6 · Cited by 120 · see citing works
Behavioural states in growth-retarded human fetuses
van Vliet, M. A. T., Martin, C. B., Nijhuis, J. G., & Prechtl, H. F. R. (1985) · Early Human Development · doi:10.1016/0378-3782(85)90181-1 · Cited by 95 · see citing works
Behavioural states in normal mature human fetuses.
Pillai, M., & James, D. K. (1990) · Archives of Disease in Childhood · doi:10.1136/adc.65.1_spec_no.39 · Cited by 82 · see citing works
Self-citationPatrick, J., Campbell, M. K., Carmichael, L., et al. (1980) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(80)90673-0 · Cited by 81 · see citing works
Are the behavioural states of the newborn comparable to those of the fetus?
Pillai, M., & James, D. K. (1990) · Early Human Development · doi:10.1016/0378-3782(90)90024-d · Cited by 65 · see citing works
Self-citationPatrick, J., Challis, J. R. G., Campbell, M. K., Carmichael, L., Natale, R., & Richardson, B. S. (1980) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(80)90857-1 · Cited by 59 · see citing works
Arduini, D., Rizzo, G., Parlati, E., et al. (1986) · Prenatal Diagnosis · doi:10.1002/pd.1970060604 · Cited by 57 · see citing works
Fetal mouth movements during behavioural states 1F and 2F
van Woerden, E. E., van Geijn, H. P., Caron, F. J. M., et al. (1988) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/0028-2243(88)90135-9 · Cited by 49 · see citing works
Horimoto, N., Koyanagi, T., Nagata, S., Nakahara, H., & Nakano, H. (1989) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(89)90517-6 · Cited by 43 · see citing works
Nasello-Paterson, C., Natale, R., & Connors, G. (1988) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(88)90145-7 · Cited by 40 · see citing works
Fetal behaviour in early pregnancy
de Vries, J. I. P., Visser, G. H. A., & Prechtl, H. F. R. (1986) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/0028-2243(86)90003-1 · Cited by 33 · see citing works
The Fetal Biophysical Profile Score: Current Status
Manning, F. A. (1990) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/s0889-8545(21)00470-8 · Cited by 33 · see citing works
Development of Behavioral States in Hydrocephalic Fetuses
Arduini, D., Rizzo, G., Caforio, L., et al. (1987) · Fetal Diagnosis and Therapy · doi:10.1159/000263307 · Cited by 29 · see citing works
The importance of the behavioural state in biophysical assessment of the term human fetus
PILLAI, M., & James, D. K. (1990) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1990.tb02501.x · Cited by 22 · see citing works
Self-citationMulder, E. J. H., Kamstra, A., O'Brien, M. J., et al. (1986) · Early Human Development · doi:10.1016/0378-3782(86)90194-5 · Cited by 20 · see citing works
Pillai, M., & James, D. K. (1991) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/0028-2243(91)90193-o · Cited by 19 · see citing works
Self-citationBizarre fetal behaviour associated with lethal congenital anomalies: a case report
Pillai, M., Garrett, C., & James, D. K. (1991) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/0028-2243(91)90060-x · Cited by 17 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Feldman, R. (2007) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01701.x · Cited by 1,317 · see citing works
From biological rhythms to social rhythms: physiological precursors of mother-infant synchrony.
Feldman, R. (2006) · Developmental Psychology · doi:10.1037/0012-1649.42.1.175 · Cited by 311 · see citing works
Normal fetal motility: an overview
de Vries, J. I. P., & Fong, B. F. (2006) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.2740 · Cited by 213 · see citing works
Smarr, B. L., Grant, A. D., Perez, L., Zucker, I., & Kriegsfeld, L. J. (2017) · Scientific Reports · doi:10.1038/s41598-017-03406-4 · Cited by 86 · see citing works
- Authors
- Pillai, M., James, D. K., & Parker, M.
- Corresponding author
- Pillai, Mary
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 1992-07
- Volume
- 167
- Issue
- 1
- Pages
- 172-177
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2080849572
- Cited by
- 30
- References
- 23
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 3 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 2 · 2015: 1 · 2014: 3 · 2012: 1
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Fetal and Pediatric Neurological Disorders
- Keywords
- ultradian rhythms, fetal development, fetal movement, fetal heart rate patterns, fetal breathing movements, fetal behavior, gestational age
- MeSH terms
- Activity Cycles, Behavior, Eye Movements, Female, Fetal Movement, Fetus, Gestational Age, Heart Rate, Fetal, Humans, Mouth, Pregnancy, Respiration, Ultrasonography, Prenatal
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review