胎儿减小和没有胎儿减小的四胎妊娠结果:丹麦国家队列研究 (2008-2018) 和与二双胞胎的比较

相关实验视频

Updated: Jul 15, 2025

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

M K Rasmussen^1,2, S E Kristensen^1,2, C K Ekelund^1,2

¹Department of Obstetrics, Center for Fetal Medicine and Ultrasound, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology

|September 25, 2023

概括

在四胎妊娠中减少胎儿显著改善结果,减少早产和增加活产婴儿. 然而,减少四胞胎的结果与二二双胞胎的结果不匹配.

科学领域:

周围生理学周围生理学
孕产妇和胎儿医学孕产妇和胎儿医学
生殖医学生殖医学

背景情况:

四胎妊娠,特别是四四 (QCQA) 类型,具有相当大的风险.
胎儿减小是一种减轻与高阶倍数相关的风险的策略.

研究的目的:

为了比较减少与非减少的QCQA四胎妊娠的妊娠结果.
为了比较降低QCQA四胞胎与二二 (DCDA) 双胞胎怀孕的结果.

主要方法:

基于丹麦国家登记册的回顾性研究 (2008-2018).
包括33个QCQA四胞胎 (减少和非减少) 和9563个DCDA双胞胎怀孕.
主要结局:不良妊娠结果的组合;次要结局:妊娠年龄,活产婴儿,早产率,出生体重.

主要成果:

不良妊娠结局率在非减小的四胞胎中最高 (66.7%),在单胞胎中较低 (50%),在双胞胎中最低 (10.7%).
在被减少为双胞胎的四胞胎中,活生生的婴儿比例为91.1%,与未减少的DCDA双胞胎 (97.6%) 显著不同.
在28周,32周和37周之前的早产率在四胞胎减少到双胞胎的四胞胎中减少,与非减少的四胞胎相比.

结论:

在QCQA四胎中减少多胎妊娠改善了怀孕结果.
减少导致早产减少,活产婴儿比例更高.
四胞胎的怀孕结果减少到双胞胎没有达到DCDA双胞胎的水平.

关键词:

出生的体重出生时的体重.减少胎儿减少的方法一个更高层次的命令.多胎妊娠是一个多胎妊娠.减少多胎妊娠,减少多胎妊娠怀孕结果怀孕结果过早分娩过早分娩是什么四个人的四重生.

更多相关视频

Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye

Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye

Published on: September 5, 2011

Double In Utero Electroporation to Target Temporally and Spatially Separated Cell Populations

Double In Utero Electroporation to Target Temporally and Spatially Separated Cell Populations

Published on: June 14, 2020

相关概念视频

Regression Toward the Mean

Regression Toward the Mean

Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...

Ovarian Cycle

Ovarian Cycle

The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...

Teratogenicity

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...