产前形形查及其对生死胎病因学评估影响
Gianna L Wilkie1, Uchechi Nna2, Naomi Stuffers2
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Massachusetts Chan Medical School, Worcester, MA, USA - gianna.wilkie@umassmemorial.org.
Minerva obstetrics and gynecology
|November 28, 2023
概括
产前形形查没有影响患者对死胎评估的同意. 然而,非侵入性产前检测 (NIPT) 与死产后基因检测率较低有关,这表明需要改善患者咨询.
科学领域:
- 围产儿医学 围产儿医学
- 遗传学 遗传学 是一个
- 生殖健康 生殖健康
背景情况:
- 死产影响1%的美国怀孕,常见的原因不明.
- 调查影响死胎评估同意的因素至关重要.
研究的目的:
- 为了确定产前形形查是否会影响患者对死产评估的同意.
- 评估不同查方法对评估同意的影响.
主要方法:
- 追溯的队列研究81个死产病例 (怀孕20周以上).
- 收集关于人口统计和死胎评估程序的数据.
- 多变量逻辑回归分析对显著单变量变量进行调整.
主要成果:
- 59.3%的患者进行了产前形形查 (综合,NIPT,四重查).
- 产前查对胎盘病理学,血清测试或胎儿尸检的协议没有显著影响.
- 患有NIPT的患者在死产后不太可能接受基因检测 (aOR 0.27).
结论:
- 产前形形查不会影响患者接受死产评估.
- 非侵入性产前检测 (NIPT) 可能会减少后续的遗传检测;需要加强关于型/微型组合益处的咨询.
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