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产前查:美国预防服务工作组建议声明
, Kirsten Bibbins-Domingo1, David C Grossman2
1University of California, San Francisco.
JAMA
|April 27, 2017
概括
在怀孕期间使用血压测量查妊娠前对母亲和婴儿都有很大的好处. 美国预防服务特别工作组 (USPSTF) 建议进行这种查,因为其有效性已被证明,伤害最小.
科学领域:
- 产科和妇科
- 产妇和胎儿医学
- 预防医学
背景情况:
- 在全球范围内,孕前是孕产妇死亡率和不良周围结果的重要原因.
- 非洲裔美国女性的患病率和死亡率更高.
- 导致过早分娩的并发症.
研究的目的:
- 提供关于产前查的最新建议.
- 评估查准确性,风险预测和治疗益处/危害的证据.
主要方法:
- 对妊娠前的查和诊断测试的系统审查.
- 评估风险预测工具的有效性.
- 对查和治疗的益处和危害的评估.
主要成果:
- 血压测量是一种精确的产前查方法.
- 查和随后的治疗显著降低了孕产妇和产周病率和死亡率.
- 与查和治疗相关的危害是最小的.
结论:
- 在怀孕期间,USPSTF建议使用血压测量对孕妇进行妊娠前查.
- 这种查为母亲和婴儿的健康带来了巨大的净益.
- 发出B级推,表明实质性净收益的高度确定性.
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