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在多胎妊娠中延迟间隔分娩:一个单中心的五个病例的经验
Roaa Hassan Gadeer1, Ahlam Alhinai1, Karen Fung-Kee-Fung1
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology and Newborn Care, The Ottawa Hospital, Ontario, Canada.
AJP reports
|May 24, 2024
概括
延迟间隔分娩 (DID) 在多胎妊娠中,特别是在怀孕20周之前,尽管存在高风险,但可能会改善双胞胎存活率. 精心的产科管理对于精选的病例至关重要.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 新生儿结局的结果.
- 高风险的妇产科 高风险的妇产科
背景情况:
- 延迟间隔分娩 (DID) 涉及在延迟后分娩第二个双胞胎或三胞胎.
- 本案例系列考察了三级医院中DID的产科管理和围产期结果.
- 该研究审查了2021年12月至2022年期间的五起DID病例.
研究的目的:
- 描述多胎妊娠中延迟间隔分娩 (DID) 的产科管理和产周结局.
- 评估DID在第三级医院环境中的可行性和结果.
- 确定影响DID病例结果的因素.
主要方法:
- 在2021年12月至2022年12月期间,对所有DID案件进行了回顾性图表审查.
- 包括所有符合条件的双胞胎和三胞胎接受DID.
- 对产科管理,产妇和新生儿结局的分析.
主要成果:
- 审查了五个病例 (四个二二双胞胎,一个三三双胞胎).
- 入院时的妊娠年龄从17 3/7到21 5/7周不等;分娩间隔从1到36天不等.
- 六个倍数中的四个没有存活;存活的新生儿需要长时间的NICU停留 (111天和131天).
结论:
- 在某些情况下,可以考虑在怀孕20周之前推迟间隔分娩 (DID),以改善双胞胎结局.
- DID与显著的孕产妇,胎儿和新生儿发病率和死亡率风险有关.
- 仔细的患者选择和管理对于优化DID的结果至关重要.
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