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在第三级推中心减少多胎儿怀孕和选择性杀胎 - - 一项回顾性队列研究

Riina Maria Jernman¹, Vedran Stefanovic¹

¹Department of Obstetrics and Gynecology, Fetomaternal Medical Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Journal of perinatal medicine

|January 28, 2024

概括

减少多胎妊娠 (MFPR) 改善了结果,大多数病例涉及异常的双胞胎. 在MFPR后,整体流产风险为11.1%,这凸显了仔细咨询和专业护理的重要性.

科学领域:

孕产妇和胎儿医学孕产妇和胎儿医学
生殖医学生殖医学
周围生理学周围生理学

背景情况:

多胎妊娠与重大风险有关,包括早产和更高的异常率.
胎儿减少旨在通过减少胎儿数量来改善妊娠结果.
多胎妊娠减轻 (MFPR) 是一种管理高阶倍数的程序.

研究的目的:

评估MFPR的产科和新生儿结局.
在第三级医院环境中分析MFPR的指示和结果.
评估MFPR对流产和活产率的影响.

主要方法:

在13年的时间里 (2007-2019) 对MFPR病例进行了回顾性队列研究.
从患者档案中收集的数据,包括怀孕,孕产妇和新生儿信息.
第一个三个月的超声波用于确定胎儿的数量,胆管性和羊性.

主要成果:

分析了54例MFPR病例;最常见的减少是从双胞胎到单胞胎 (63%).
同胞异常是减少73.5%的双胞胎减少的主要指示.
怀孕流产风险为11.1%;单胎婴儿的活产率为90%,MFPR后双胞胎的活产率为71.4%.

结论:

对于异常的双胞胎来说,MFPR通常是适用的,总体怀孕损失风险为11.1%.
辅助生殖技术 (ART) 经常与更高阶的倍数有关.
在多胎妊娠中,建议转诊至胎儿产妇单位进行MFPR咨询和程序.

关键词:

杀死胎儿的行为多种植物的植物.怀孕怀孕怀孕怀孕怀孕减少减少减少减少这是一对三胞胎三胞胎.他们是双胞胎,双胞胎.

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