在双胞胎怀孕中定制胎儿生长轨迹的有条件标准
Suparat Jaingam1, Nisarat Phithakwatchara1, Katika Nawapun1
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
American journal of obstetrics & gynecology MFM
|November 11, 2023
概括
新的条件生长图表准确地评估双胞胎怀孕中的胎儿生长. 这些图表是从超声波数据中开发的,是可概括的,并改进了现有的双胞胎人口特定标准.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产前超声波检查 产前超声波检查
- 胎儿成长评估 胎儿成长评估
背景情况:
- 双胞胎和单胞胎之间的出生体重差异随着妊娠年龄的增加而增加.
- 对于双胞胎而言,现有的胎儿体重标准往往是特定于人群的,且适用性有限.
- 准确的胎儿生长评估在双胞胎怀孕是非常重要的,因为独特的生长模式.
研究的目的:
- 为评估双胞胎胎的生长生成条件百分位数.
- 将新开发的双生长标准与现有的单元和双生长标准进行比较.
- 评估新的增长评估工具的通用性.
主要方法:
- 在双胞胎怀孕中,对超声波衍生胎儿估计体重 (EFW) 的回顾性纵向研究.
- 基于EFW和妊娠年龄的条件百分数的发展,调整为母体和胎儿因素.
- 使用低风险期双胞胎的子组分析与基于人口的标准进行比较.
主要成果:
- 分析包括来自572个双胞胎怀孕的2644个超声波;36%是单.
- 孕产妇的年龄,BMI和胎儿的性别-胆性相互作用显著影响了EFW.
- 新的条件生长曲线与现有的双胞胎标准保持一致,在识别妊娠年龄小的胎儿方面超过单个标准.
结论:
- 为双胞胎怀孕开发了一种新的条件增长图.
- 与现有的标准相比,这种工具可以更准确地评估双胞胎的胎儿生长.
- 开发的增长图表可以对不同的人口进行概括.
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