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妊娠前出血症のスクリーニング:米国予防サービスタスクフォースの勧告声明
, Kirsten Bibbins-Domingo1, David C Grossman2
1University of California, San Francisco.
JAMA
|April 27, 2017
まとめ
妊娠中の血圧測定を用いた妊娠前出血症のスクリーニングは,母親と乳児にとって大きな利点をもたらします. 米国予防サービスタスクフォース (USPSTF) は,このスクリーニングの有効性と最小限の害のために推奨しています.
科学分野:
- 産婦人科
- 妊婦と胎児の医療
- 予防 医療
背景:
- 妊娠前出血症は 妊産婦の死亡率と 妊産婦の不良結果の 重要な原因です
- アフリカ系アメリカ人女性の罹患率と死亡率は 圧倒的に高いのです
- 合併症はしばしば早産を必要とし,早産につながります.
研究 の 目的:
- 妊娠前出血症のスクリーニングに関する最新の勧告を提示する.
- スクリーニングの正確性,リスク予測,治療の効果/有害性に関する証拠を評価する.
主な方法:
- 妊娠前出血症のスクリーニングと診断に関する証拠の体系的なレビュー
- リスク予測ツールの有効性の評価
- スクリーニングと治療の利益と害の評価
主要な成果:
- 血圧測定は,妊娠前出血症の正確なスクリーニング方法です.
- スクリーニングとその後の治療は,母体および胎児間疾患と死亡率を著しく減少させる.
- 検診と治療に伴う害は最小限です
結論:
- USPSTFは妊娠中に血圧測定を用いて妊娠前出血症のスクリーニングを推奨しています.
- このスクリーニングは母と乳児の健康に 相当な利益をもたらします
- グレードBの勧告が発行され,実質的な純利益の高い確実性を示します.
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