对胎儿结构异常的管理,结果,风险和预期分类,以帮助产前咨询:系统审查
Prabudh Goel1, Vikesh Agrawal2, Ramesh Babu Srinivasan3
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
本研究介绍了胎儿异常的管理,结果,风险和预期 (MORE) 分类. 这一框架有助于为面临复杂儿科外科条件的父母提供产前咨询和决策.
科学领域:
- 儿科手术 儿科手术
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医疗决策的制定 医疗决策的制定
背景情况:
- 对于儿科外科条件的产前咨询在风险分层方面存在挑战.
- 有信息的父母决策需要明确,结构化的关于胎儿异常的信息.
研究的目的:
- 提出管理,结果,风险和预期 (MORE) 分类系统.
- 根据改善产前咨询的风险对胎儿结构异常进行分层.
主要方法:
- 系统性审查遵循系统性审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括1993年至2023年间发表的关于儿科外科病症产前咨询的研究.
- 分析数据,包括器官系统,疾病自然史,管理和产科影响.
主要成果:
- 22项研究符合纳入标准;大多数是审查或追溯观察性研究.
- 在MORE分类中,异常根据管理 (45.45%),结果 (40.90%),风险 (40.90%) 和预期 (45.45%) 进行分类.
- 对于大多数疾病,确定了有限的高质量证据 (A级,I级).
结论:
- MORE分类为产前咨询提供了一个简化,全面的框架.
- 这个系统帮助医生向父母传达关于胎儿异常的复杂信息.
- 基于风险的增强分层可以改善家长的理解和决策过程.
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