怀孕前咨询对脊椎关节炎患者怀孕后果的影响
Tiago Beirão1, Rafaela Nicolau2, Inês Santos2
1Centro Hospitalar de Vila Nova de Gaia/Espinho.
ARP rheumatology
|July 3, 2024
概括
对于患有脊椎关节炎 (SpA) 的女性,预孕咨询显著减少了产后疾病爆发和怀孕期间使用禁忌药物的情况. 这强调了怀孕前护理对于改善SPA患者的孕产妇和胎儿结局的重要性.
科学领域:
- 类风湿病学 类风湿病学
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
背景情况:
- 脊椎关节炎 (SpA) 影响生殖年龄的女性,影响生殖健康.
- 孕前辅导改善了类风湿性关节炎的妊娠结果,但对SPA的数据有限.
研究的目的:
- 评估预孕咨询对SPA妇女怀孕结果的影响.
主要方法:
- 45个怀孕的回顾性多中心研究 (2020-2022).
- 对接受怀孕前咨询的妇女和没有接受怀孕前咨询的妇女之间的结果进行了比较.
- 收集有关患者特征,疾病持续时间,药物和咨询的数据.
主要成果:
- 66.67%的孕妇接受了怀孕前咨询.
- 咨询组的产后发作明显减少 (6.4%与36.6%,p=0.031).
- 咨询组对禁忌药物的使用明显较低 (0.0%对20.0%,p=0.011).
结论:
- 在SPA患者怀孕前,预孕咨询可以加强在怀孕前的药物调整.
- 咨询减少了产后发作,表明改善了怀孕结果.
- 建议将预孕咨询纳入孕妇SPA管理.
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