孕前症 孕前症是什么
Eric A P Steegers1, Peter von Dadelszen, Johannes J Duvekot
1Department of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, Netherlands. e.a.p.steegers@erasmusmc.nl
Lancet (London, England)
|July 6, 2010
概括
孕前,一种导致高血压和蛋白尿的妊娠并发症,对母亲和婴儿构成风险. 早期胎盘问题与早期发病有关,而代谢因素可能导致晚期发病的先兆子.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 心血管健康 心血管健康
背景情况:
- 孕前是孕产妇和产周死亡的主要原因之一.
- 它的特点是怀孕期间新出现的高血压和蛋白尿.
- 病原发生是不同的,早期发病与胎盘相关,晚期发病与心血管/代谢风险相关.
研究的目的:
- 重新审视对子宫前病原体的理解.
- 讨论当前的管理策略.
- 突出影响妇女的长期健康影响.
主要方法:
- 关于子宫前的文献综述.
- 对不同表型的贡献因素的分析.
- 临床管理和结果的总结.
主要成果:
- 早期不良的胎盘与早期发病的妊娠前有关.
- 心血管和代谢风险可能是晚期发病的先兆子的基础.
- 预防和预测仍然具有挑战性.
结论:
- 及时分娩是治疗子宫前的唯一方法.
- 管理重点是预防孕产妇的发病率和死亡率.
- 孕前症表明未来心血管和代谢疾病风险增加,需要进行生活方式干预.
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