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为患有慢性瘤的妇女提供妊娠前咨询:从光明的一面开始
Iara Da Silva1, Alejandra Orozco-Guillén2, Elisa Longhitano3
1Nephrology Department, Germans Trias i Pujol University Hospital, Badalona, Barcelona, Spain.
Clinical kidney journal
|May 7, 2024
概括
患有慢性脏病 (CKD) 的女性怀孕现在由于改善咨询而更加成功. 积极的咨询赋予患者权力,专注于风险和有利的结果,以改善母亲和婴儿健康.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 产科 产科 产科 产科 产科
- 生殖医学 生殖医学
背景情况:
- 从历史上看,患有慢性病 (CKD) 的妇女怀孕是不被鼓励的,因为对母亲和胎儿的风险很高.
- 最近的转变强调了患者的赋权和对风险和结果的更好理解.
- 护理的进步已经导致明显更好的妊娠结果,即使在晚期CKD.
研究的目的:
- 审查患有CKD的妇女怀孕的不断变化的情况.
- 强调全面的怀孕前和产后咨询的重要性.
- 倡导一种"积极咨询"的方法,平衡风险与成功概率.
主要方法:
- 文献综述和关于怀孕和CKD的当前临床观点的综合.
- 讨论患者咨询的作用,包括怀孕前和产后阶段.
- 探索伦理考虑和基于场景的方法来管理期望.
主要成果:
- 患有CKD的母亲和新生儿的怀孕结果已大大改善.
- 有效的咨询对于明智的决策和风险管理至关重要.
- 积极的咨询可以增强患者与医生的关系,改善患者的坚持.
- 基于场景的方法有助于理解异构的CKD病例中的不同结果.
结论:
- 患有CKD的女性的怀孕在适当的管理和咨询下越来越可行.
- 怀孕前和产后咨询对于优化母亲和儿童健康结果至关重要.
- 赋予患者现实的信息,包括积极的结果,是成功管理CKD怀孕的关键.
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