妊娠前症
Ben W J Mol1, Claire T Roberts1, Shakila Thangaratinam2
1The Robinson Research Institute, School of Paediatrics and Reproductive Health, University of Adelaide, SA, Australia.
Lancet (London, England)
|September 7, 2015
概括
妊娠前是一种影响3 - 5%的妊娠并发症,需要及时治疗以预防孕产妇和婴儿死亡. 进一步研究预测和治疗对于改善结果至关重要.
科学领域:
- 产科和妇科
- 产妇和胎儿医学
- 怀孕中的心血管疾病
背景情况:
- 妊娠前影响3 - 5%的怀孕,传统上通过高血压和蛋白尿症诊断.
- 扩大定义包括母体器官功能障碍和胎儿生长限制.
- 它是孕产妇和婴儿死亡的主要原因,
研究的目的:
- 审查目前对子宫前的理解和治疗.
- 突出需要改进预测算法和治疗策略.
- 强调怀孕是评估母亲心血管健康的关键时刻.
主要方法:
- 关于子前诊断,管理和预防的现有文献的审查.
- 分析当前的治疗方式及其局限性.
- 讨论新兴的预测算法和预防措施.
主要成果:
- 由于缺乏治愈治疗, 目前的管理重点是稳定和及时分娩.
- 预测算法是有前途的,但需要验证.
- 像低剂量阿司匹林和这样的预防措施提供了有限的益处.
结论:
- 孕前对孕产妇和胎儿健康构成重大风险,需要开展合作研究以获得更好的结果.
- 早期识别和干预是关键,怀孕是解决未来母亲心血管健康问题的机会.
- 发现和评估治疗方法的协同努力对于受影响的妇女和婴儿至关重要.
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