在肥胖的孕妇中产前诊断的挑战
Farah Siddiqui1, Karim Kalache2, Badreledeen Ahmed3
1Fetal and Maternal Medicine, University Hospitals of Leicester NHS Trust, UK.
Best practice & research. Clinical obstetrics & gynaecology
|April 18, 2024
概括
孕妇的肥胖会增加孕妇和胎儿并发症的风险,包括先天性形和形. 产前诊断由于肥胖而具有挑战性,影响测试准确性和程序可行性.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖健康 生殖健康
- 公共卫生 公共卫生
背景情况:
- 全球肥胖率的上升不成比例地影响到了生育年龄的女性.
- 怀孕期间的肥胖与增加的非传染性疾病,孕产妇并发症和胎儿先天性形有关.
- 肥胖的孕妇往往呈现出晚期的孕产妇年龄,从而增加了积体的风险.
研究的目的:
- 审查肥胖孕妇产前诊断方面的挑战.
- 突出肥胖对产前查和诊断测试准确性的影响.
- 强调有关风险和测试限制的适当患者咨询的必要性.
主要方法:
- 关于肥胖妊娠中产前诊断的当前文献的综述.
- 讨论肥胖患者的超声波成像中的人体工程学挑战.
- 分析脂肪增加如何影响形瘤查的生化标志物.
主要成果:
- 在肥胖的孕妇中产前诊断存在重大的人体工程学和技术上的困难.
- 肥胖症可能会降低形积分症查测试的敏感性.
- 在肥胖母亲的胎儿中发现结构异常的风险增加.
结论:
- 产前诊断程序,包括超声波和侵入性检测,在肥胖的孕妇中更困难.
- 咨询必须解决测试灵敏度降低,程序性挑战和胎儿结构异常风险增加的问题.
- 专门的方法和明确的沟通对于管理这群人群的产前护理至关重要.
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