经常发生的流产
1Department of Obstetrics and Gynaecology, St Mary's Campus, Imperial College London, Mint Wing, South Wharf Road, London W2 1PG, UK.
Lancet (London, England)
|August 15, 2006
概括
经常性流产,三个或更多怀孕的流产,影响1%的夫妇. 基于证据的管理对于这种常见的妊娠并发症至关重要,超越事证据.
科学领域:
- 生殖医学 生殖医学
- 遗传学 是一个遗传学.
- 心理医学 心理医学
背景情况:
- 经常性流产 (RM) 是连续三个或更多次怀孕的流产,影响1%的夫妇.
- RM与显著的心理困扰有关,包括抑郁和焦虑.
- 关于RM病因和治疗的传统信念往往缺乏科学支持.
研究的目的:
- 为了强调RM在生殖衰竭中的重要性.
- 为了强调RM,低生育率和晚期妊娠并发症之间的联系.
- 倡导基于证据的管理,而不是事的做法.
主要方法:
- 审查关于反复流产的当前研究.
- 对受影响妇女的心理影响的分析.
- 基于证据的实践与传统方法的比较.
主要成果:
- 遗传异常受孕是流产的常见原因之一.
- 显著比例的女性患有RM经历临床抑郁和焦虑.
- 研究支持基于证据的RM管理方法.
结论:
- 经常性流产是生殖力衰竭的一个关键领域.
- 心理支持对于经历RM的女性至关重要.
- 从事转向以证据为基础的管理改善了患者的护理.
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