患有的妇女的安全分娩,围产期结果和母乳养
Boulenouar Mesraoua1, Francesco Brigo2, Simona Lattanzi3
1Neurosciences Department, Hamad Medical Corporation and Weill Cornell Medical College, Doha, Qatar.
Epilepsy & behavior : E&B
|May 17, 2024
概括
患有的妇女在怀孕期间和分娩后需要专门的护理. 虽然不需要剖腹产,但这些女性面临更高的风险,特别是当使用抗药物 (ASM) 时. 通常建议母乳养.
科学领域:
- 产科和妇科 产科和妇科
- 神经学 神经学
- 药理学 药理学 是一个学科.
背景情况:
- 对患有的妇女 (WWE) 进行最佳的产前和产后护理至关重要,但研究不足.
- 在WWE中怀孕与产科并发症和围产期不良结果的风险增加有关.
- 在WWE服用抗药物 (ASM) 时,这些风险可能会被放大.
研究的目的:
- 为了强调怀孕WWE的专业护理的重要性.
- 讨论怀孕期间WWE的风险最小化策略.
- 为产后管理提供指导,包括母乳养.
主要方法:
- 关于怀孕期间治疗的当前文献和临床指导方针的审查.
- 对WWE中传递方式和结果的流行病学数据的分析.
- 在怀孕期间考虑ASM的药理动力学变化.
主要成果:
- 仅仅诊断出并不能强制进行剖腹产或引产.
- 与普通人群相比,WWE的剖腹产率在WWE中更高.
- 怀孕的WWE,特别是那些在ASM上,面临着并发症和死亡率的高风险.
结论:
- 怀孕的WWE应该被转介给专家护理,以优化管理.
- 调整ASM的剂量可能是必要的,以管理怀孕期间的药理学变化.
- 哺乳对WWE婴儿的好处超过了ASM传播的最小风险.
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