阴道孕激素用于预防复发的自发早产
Vincenzo Berghella1, Moti Gulersen1, Amanda Roman1
1Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, Sidney Kimmel Medical College, Philadelphia, PA.
American journal of obstetrics & gynecology MFM
|August 5, 2023
概括
建议使用阴道孕激素来预防单子妊娠中复发的自发早产. 从16周开始,每晚提供一次,如果宫长度短,请考虑 cerclage.
科学领域:
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 美国食品和药物管理局 (FDA) 撤回了17-α基酸,影响了早产预防指南.
- 对于先前自发早产的单独怀孕的管理,存在相互矛盾的建议.
研究的目的:
- 审查支持阴道孕激素预防复发性自发早产的证据.
- 为单独怀孕的单独怀孕提供明确的管理建议,有过早分娩史.
主要方法:
- 随机试验数据和转化证据的分析.
- 审查国家协会的指导方针.
主要成果:
- 预防性阴道孕激素得到了强大的试验数据的支持.
- 建议包括从怀孕16周开始每晚的阴道孕激素.
结论:
- 阴道孕激素应提供给单子怀孕,有史以来自发早产.
- 继续发育激素,如果子宫的长度在24周之前≤25毫米,请考虑 cerclage.
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